| NPI | 1750625638 |
|---|---|
| Former Name | ALLISON KATHLEEN LANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3007753) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993834-NP) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2019-08-26 |