Kristopher Olen Lane, FNP
NPI #1306378856 in Latta, South Carolina
Provider Information
- NPI Number
- 1306378856
- Entity Type
- Individual
- Name
- Kristopher Olen Lane, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Apr 3, 2017
- Last Updated
- Apr 27, 2023
Practice Location
- Address
- 122 LATIMER ST
- City
- Latta
- State
- South Carolina
- ZIP Code
- 29565-1828
- Phone
- (843) 627-6252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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