Lane, Karen Elizabeth

Lane, Karen Elizabeth is an individual health care provider with primary practice located at 730 Glynn St S , Fayetteville GA 30214-2050. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lane, Karen Elizabeth can be contacted via phone (770) 460-3650.

Contact Information

Primary practice address
730 Glynn St S Fayetteville GA 30214-2050
Phone: (770) 460-3650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2084672 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN145860 Georgia

Profile Details

NPI number 1336370360
LBN Legal business name Lane, Karen Elizabeth
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2009
Last updated Apr 20th, 2022 - about 2 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 1336370360 NPPES
Florida MEDICAID 001441400

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