Individual
CHELSEA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, PA-C
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8779
Mailing address
3809 COMPUTER DR STE 100, RALEIGH, NC 27609-6518
(919) 781-9078
(919) 719-0147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08413
NC
Other
Enumeration date
09/11/2018
Last updated
01/16/2023
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