Doctor Name: | MRS. ADRIENNE DUNLAP LANE |
NPI Number: | 1003056763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 195861 |
Business Practice Address: | 200 Hawthorne Ln Charlotte, NC - 282042515 |
Business Phone Number: | 7043844109 |
Business Fax Number: | |
Mailing Address: | 200 Hawthorne Ln, CHARLOTTE |
State: | NC |
Postal Code: | 282042515 |
Phone Number: | 7043844109 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2009 |
NPI Last Update Date: | 02/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0000X |
License Number: | 195861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |