Jessica Lane

NPI #1619525888 in Vincennes, Indiana

Provider Information

NPI Number: 1619525888
Entity Type: Individual
Name: Jessica Lane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Aug 29, 2019
Last Updated: Feb 29, 2024

Practice Location

Address: 650 KIMMELL RD
City: Vincennes
State: Indiana
ZIP Code: 47591-6341
Phone: (812) 886-0006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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