Individual
MICHELE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1624 S POST RD, MIDWEST CITY, OK 73130-6602
(405) 795-0602
Mailing address
1624 S POST RD, MIDWEST CITY, OK 73130-6602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210030
OK
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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