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
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