Lane, Mctisa Michelle
Lane, Mctisa Michelle is an individual health care provider with primary practice located at 2817 Reilly St , Fort Liberty NC 28310-4056. 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, Mctisa Michelle can be contacted via phone (910) 907-2575.Contact Information
Primary practice address
2817 Reilly St
Fort Liberty NC 28310-4056
Phone: (910) 907-2575
Fax: (910) 907-9606
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5005342 | North Carolina |
Profile Details
NPI number | 1669756177 |
---|---|
LBN Legal business name | Lane, Mctisa Michelle |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2011 |
Last updated | Jul 16th, 2024 - about 2 months 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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