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1639730690
MICHELLE L LANE
SYRACUSE, NY
NPI
1639730690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 344578)
Enumeration Date
2019-06-21
Last Update Date
2019-06-21
Business Address
MICHELLE L LANE
301 PROSPECT AVE FL 6
SYRACUSE, NY 13203-1807
Phone number: 315-448-5491
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Mailing Address
MICHELLE L LANE
301 PROSPECT AVE FL 6
SYRACUSE, NY 13203-1807
Phone number: 315-448-5491
Copy
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