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1649345885
LISA DEANN LANE
JOHNSON CITY, TN
NPI
1649345885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
-- LISA DEANN LANE BS
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Phone number: 423-232-2638
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Mailing Address
-- LISA DEANN LANE BS
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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