Lane, Susan Mary

Lane, Susan Mary is an individual health care provider with primary practice located at 2801 Debarr Rd , Anchorage AK 99508-2932. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Lane, Susan Mary can be contacted via phone (907) 258-2149.

Contact Information

Primary practice address
2801 Debarr Rd Anchorage AK 99508-2932
Phone: (907) 258-2149
Fax: (907) 258-2147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 5844 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 23 Alaska

Profile Details

NPI number 1033192620
LBN Legal business name Lane, Susan Mary
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Aug 5th, 2009 - about 15 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 1033192620 NPPES
Alaska MEDICAID RNA0028
Alaska Other 430047155

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