Individual
KRISTINA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 DAVIS DR, NEW TAZEWELL, TN 37825-2152
(423) 626-4291
(423) 626-2525
Mailing address
446 RAVEN FORK RD, TAZEWELL, TN 37879-6319
(423) 419-0375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239084
TN
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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