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1174912836
LISA LANE
FORT RUCKER, AL
NPI
1174912836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-053006)
Enumeration Date
2015-01-20
Last Update Date
2015-01-20
Business Address
LISA LANE LPN
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7636
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Mailing Address
LISA LANE LPN
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7636
Copy
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