Individual
MS. NANCY LENORA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 HOSPITAL DR, TARBORO, NC 27886-2011
(252) 641-7166
Mailing address
2743 CHURCH ST, WINTERVILLE, NC 28590-8482
(252) 321-1323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083062
NC
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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