Lane, Melissa Diane
Lane, Melissa Diane is an sole proprietor health care provider with primary practice located at 4909 Nw 27Th Ct # B , Gainesville FL 32606-6590. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Lane, Melissa Diane can be contacted via phone (352) 377-6008.Contact Information
Primary practice address
4909 Nw 27Th Ct # B
Gainesville FL 32606-6590
Phone: (352) 377-6008
Fax: (352) 377-7364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | MA46448 | Florida |
Profile Details
| NPI number | 1437227550 |
|---|---|
| LBN Legal business name | Lane, Melissa Diane |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437227550 | NPPES |
| Florida | Other | C3924 | BCBS PROVIDER NUMBER |
| Florida | Other | MA46448 | BCBS PROVIDER NUMBER |
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