Individual
MS. CYNTHIA JEAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
143 WHITE BIRCH LN, INDIAN LAKE, NY 12842-1424
(518) 648-5355
(518) 648-6437
Mailing address
143 WHITE BIRCH LN, INDIAN LAKE, NY 12842-1424
(518) 648-5355
(518) 648-6437
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400384
NY
Other
Enumeration date
10/29/2008
Last updated
08/10/2012
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