Judy Lane, N.P., R.N. Valid NPI
Individual provider · Adult Health Nurse Practitioner · San Rafael, CA
- NPI
- 1043420896
- Type
- Individual (Type 1)
- Primary specialty
- Adult Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LA2200X
- License number
- 501901 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-05-23
- Last updated
- 2007-07-08
Practice location
25 Mitchell Blvd, Suite 8
San Rafael, CA 94903-2007
(415) 472-2343