Doctor Name: | MRS. KAREN MALINDA LANE |
NPI Number: | 1063544666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | RN153072 |
Business Practice Address: | 401 Holston Dr Greeneville, TN - 377433127 |
Business Phone Number: | 4236391104 |
Business Fax Number: | 4234673644 |
Mailing Address: | 1167 Spratlin Park Dr, GRAY |
State: | TN |
Postal Code: | 376156205 |
Phone Number: | 4234673600 |
Fax Number: | 4234673644 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN153072 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |