LISA LANE

FORT RUCKER, AL
NPI1174912836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AL  2-053006)
Enumeration Date2015-01-20
Last Update Date2015-01-20
Business Address
LISA LANE LPN
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7636
Mailing Address
LISA LANE LPN
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362-5333
Phone number: 334-255-7636