Doctor Name: | MRS. MONICA LANE |
NPI Number: | 1033417266 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 336570 |
Business Practice Address: | 405 Frederick Rd Suite 11 Catonsville, MD - 212284645 |
Business Phone Number: | 4107884545 |
Business Fax Number: | |
Mailing Address: | 405 Frederick Rd, Suite 11 CATONSVILLE |
State: | MD |
Postal Code: | 212284645 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/11/2011 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 336570 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |