MRS. Baneka Lane, OWNER
NPI #1578099248 in Columbia, Mississippi
Provider Information
- NPI Number
- 1578099248
- Entity Type
- Individual
- Name
- MRS. Baneka Lane, OWNER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Credential
- OWNER
- Enumeration Date
- May 2, 2017
- Last Updated
- May 2, 2017
Practice Location
- Address
- 202 KATHERINE DR
- City
- Columbia
- State
- Mississippi
- ZIP Code
- 39429-8747
- Phone
- (601) 441-3680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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