LESLIE ALLEN LANE

CHARLESTON, SC
NPI1477742658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC  2985)
Enumeration Date2007-10-23
Last Update Date2014-09-11
Business Address
Mrs. LESLIE ALLEN LANE CPNP
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
Mailing Address
Mrs. LESLIE ALLEN LANE CPNP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200