Kimberly J Lane APRN

NPI 1093765232 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1093765232
Gender Female
Enumeration Date 05/10/2006
Last Updated 01/12/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
320 POMFRET ST
PUTNAM CT, 06260-1836, US
Phone (860) 928-6541
Fax (860) 963-6393
Business Location
320 POMFRET ST
PUTNAM CT, 06260-1836, US
Phone (860) 928-6541
Fax (860) 963-6393
Toxanomy
Taxonomy Code 363LP0808X
License State Connecticut
License Number 000708
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According to our database, Kimberly J Lane APRN NPI is 1093765232, taxonomy code is 363LP0808X and license number is 000708, license state is located at Connecticut. Kimberly J Lane APRN physically located at 320 Pomfret St, Putnam CT, 06260-1836. NPI Number Kimberly J Lane APRN has the Individual type.

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1093765232 NPI number is provided on an as is basis without warranty of any kind. 1093765232 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly J Lane APRN are for informational purposes only.