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1962978460
LANE A ANDERSON
WICHITA FALLS, TX
NPI
1962978460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX AP139415)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
LANE A ANDERSON MSN RN PPCNP-BC CPN
4420 KIMBELL DR
WICHITA FALLS, TX 76302-3006
Phone number: 940-696-1600
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Mailing Address
LANE A ANDERSON MSN RN PPCNP-BC CPN
200 MLK JR BLVD
WICHITA FALLS, TX 76301-1152
Phone number: 940-696-1600
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