Shannon R Lane, FNP-C
NPI #1316477326 in Washington, Illinois
Provider Information
- NPI Number
- 1316477326
- Entity Type
- Individual
- Name
- Shannon R Lane, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Jun 13, 2017
- Last Updated
- Jun 13, 2017
Practice Location
- Address
- 1960 FREEDOM PKWY
- City
- Washington
- State
- Illinois
- ZIP Code
- 61571-9468
- Phone
- (309) 745-7425
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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