| Doctor Name: | AMBER LANE |
| NPI Number: | 1003287111 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 0001225785 |
| Business Practice Address: | 300 Med Tech Pkwy Johnson City, TN - 376042277 |
| Business Phone Number: | 4233023100 |
| Business Fax Number: | |
| Mailing Address: | 2823 S Roan St, Apt 207 JOHNSON CITY |
| State: | TN |
| Postal Code: | 376017692 |
| Phone Number: | 2762205484 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2015 |
| NPI Last Update Date: | 10/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 0001225785 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |