Lisa Lane, LPN

NPI #1174912836 in Fort Rucker, Alabama

Provider Information

NPI Number
1174912836
Entity Type
Individual
Name
Lisa Lane, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jan 20, 2015
Last Updated
Jan 20, 2015

Practice Location

Address
BLDG 301 ANDREWS AVE
Address 2
LYSTER ARMY HEALTH CLINIC
State
Alabama
ZIP Code
36362-5333
Phone
(334) 255-7636

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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