MARY L LANE

BELLEVIEW, FL
NPI1568614303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  ARNP3083192)
Enumeration Date2008-10-10
Last Update Date2012-11-15
Business Address
-- MARY L LANE ARNP
10762 SE US HIGHWAY 441
BELLEVIEW, FL 34420-3805
Phone number: 352-347-5225
Mailing Address
-- MARY L LANE ARNP
10762 SE US HWY 441
BELLEVIEW, FL 34420
Phone number: 352-347-5225