Individual provider · Type 1 NPI

Judy Lane, N.P., R.N.

Adult Health Nurse Practitioner · San Rafael, CA

NPI number 1043420896 Active

Practice location

25 Mitchell Blvd, Suite 8
San Rafael, CA 94903-2007

Fax (415) 472-7636

Mailing address

30 Marin Valley Dr
Novato, CA 94949-6806

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X501901 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1043420896

Judy Lane, N.P., R.N.'s National Provider Identifier is 1043420896, issued on May 23, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.