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1417910209
BRENDA LANE
ITHACA, NY
NPI
1417910209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 332286)
Enumeration Date
2006-04-11
Last Update Date
2019-04-10
Business Address
Ms. BRENDA LANE NP
2359 N TRIPHAMMER RD
ITHACA, NY 14850-1059
Phone number: 607-257-1705
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Mailing Address
Ms. BRENDA LANE NP
8 BRENTWOOD DR STE A
ITHACA, NY 14850-1871
Phone number: 607-257-2116
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