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Carolyn Jo Lane, NP

Nurse Practitioner in Marion, IN. Individual provider (NPI-1).

NPI number1497911051
StatusActive
Last updated in NPPESAug 1, 2013

Details

NPI
1497911051
Entity type
Individual (NPI-1)
Name
Carolyn Jo Lane
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 4, 2008
Last updated
Aug 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner71002663AINYes

Practice location

441 N Wabash Ave
Marion, IN 46952-2612

Phone 765-660-6411

Mailing address

330 North Wabash Ave
Suite G20
Marion, IN 46952-2600

Phone 765-660-7600 · Fax 765-651-7313

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