Individual
ALYSON LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
687 JOHNSON FERRY RD, MARIETTA, GA 30068-4628
(770) 977-9220
Mailing address
803 SERRAMONTE DR, MARIETTA, GA 30068-4652
(404) 277-2866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN186973
GA
Other
Enumeration date
06/28/2012
Last updated
05/21/2014
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