Mira B Lane
NPI #1073296901 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1073296901
- Entity Type
- Individual
- Name
- Mira B Lane
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 8, 2023
- Last Updated
- Aug 8, 2023
Practice Location
- Address
- 2011 S 25TH ST STE 108
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34947-4795
- Phone
- (770) 242-1079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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