ANN BOURGEOIS LANE

HUNTSVILLE, AL
NPI1215376751
Professional NameELIZABETH ANN LANE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-035725)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TN  APN0000019106)
Enumeration Date2013-06-18
Last Update Date2018-03-28
Business Address
ANN BOURGEOIS LANE CRNP
101 BOB WALLACE AVE SW STE E
HUNTSVILLE, AL 35801-3843
Phone number: 256-539-5339
Mailing Address
ANN BOURGEOIS LANE CRNP
1321 HUNTSVILLE HWY
FAYETTEVILLE, TN 37334-3603
Phone number: 931-297-2201