| Doctor Name: | PAULA SMITH-LANE |
| NPI Number: | 1396707576 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, CRNP |
| License Number: | UP0004355B |
| Business Practice Address: | 8805 Sr 6 Lower Level Meshoppen, PA - 186308149 |
| Business Phone Number: | 5702656300 |
| Business Fax Number: | 5702682807 |
| Mailing Address: | 71 Hospital Dr, TOWANDA |
| State: | PA |
| Postal Code: | 188489702 |
| Phone Number: | 5072656300 |
| Fax Number: | 5702682807 |
| NPI Enumeration Date: | 04/04/2006 |
| NPI Last Update Date: | 05/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | UP0004355B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |