Andrea Denise Lane SAS

NPI 1740669811 - Counselor - 101YA0400X

NPI Details
NPI 1740669811
Gender Female
Enumeration Date 05/22/2015
Last Updated 05/22/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
5200 SUMMIT MANOR LN APT 309
RALEIGH NC, 27613-7069, US
Phone (919) 274-8356
Fax
Business Location
5200 SUMMIT MANOR LN APT 309
RALEIGH NC, 27613, US
Phone (919) 274-8356
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State North Carolina
License Number LCAS-20014
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According to our database, Ms. Andrea Denise Lane SAS NPI is 1740669811, taxonomy code is 101YA0400X and license number is LCAS-20014, license state is located at North Carolina. Andrea Denise Lane SAS physically located at 5200 Summit Manor Ln Apt 309, Raleigh NC, 27613-7069. NPI Number Andrea Denise Lane SAS has the Individual type.

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1740669811 NPI number is provided on an as is basis without warranty of any kind. 1740669811 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Denise Lane SAS are for informational purposes only.