Louise Lane
Technician, Attendant Care Provider in Bronx, NY. Individual provider (NPI-1).
NPI number1104469485
StatusActive
Last updated in NPPESOct 11, 2026
Details
- NPI
- 1104469485
- Entity type
- Individual (NPI-1)
- Name
- Louise Lane
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2019
- Last updated
- Oct 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
130 W Kingsbridge RdBronx, NY 10468-3904
Phone 718-584-9000
Mailing address
331 Decker AveStaten Island, NY 10302-2201
Phone 917-829-1625
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