Individual
KRISTEN G LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1150 GOLDEN WAY, WATKINSVILLE, GA 30677-7712
(706) 612-9401
(706) 612-9420
Mailing address
1150 GOLDEN WAY, WATKINSVILLE, GA 30677-7712
(706) 612-9401
(706) 612-9420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP194082
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031375748
—
GA
01
—
202I500020
MEDICARE
GA
01
—
RN194082
RN NUSING LICNESE NUMBER
GA
Enumeration date
07/24/2013
Last updated
10/28/2025
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