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1730754441
LANA SIDES BURNETT
MOBILE, AL
NPI
1730754441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-153218)
Enumeration Date
2021-05-25
Last Update Date
2022-02-14
Business Address
LANA SIDES BURNETT CRNP
1855 SPRING HILL AVE
MOBILE, AL 36607-2301
Phone number: 251-471-3544
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Mailing Address
LANA SIDES BURNETT CRNP
11 PIRATES LN
SPANISH FORT, AL 36527-3035
Phone number: 256-339-4493
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