Lane, Cornelia

Lane, Cornelia is an individual health care provider with primary practice located at 201 E Grover St , Shelby NC 28150-3917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Lane, Cornelia can be contacted via phone (980) 487-3678.

Contact Information

Primary practice address
201 E Grover St Shelby NC 28150-3917
Phone: (980) 487-3678
Fax: (980) 487-3294
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 5007296 North Carolina

Profile Details

NPI number 1982009049
LBN Legal business name Lane, Cornelia
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2014
Last updated Nov 15th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982009049 NPPES
South Carolina MEDICAID QNP283
South Carolina MEDICAID 1982009049

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