Madeline Fennon Lane, NP
NPI #1437756335 in Charlton, Massachusetts
Provider Information
- NPI Number
- 1437756335
- Entity Type
- Individual
- Name
- Madeline Fennon Lane, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Oct 4, 2020
- Last Updated
- Jun 20, 2023
Practice Location
- Address
- 10 N MAIN ST
- City
- Charlton
- State
- Massachusetts
- ZIP Code
- 01507-1590
- Phone
- (508) 248-3015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner |
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