Individual provider · Type 1 NPI

Kayla Marie Lane, RN

Pediatric Registered Nurse · Tyler, TX

NPI number 1063081693 Active

Practice location

100 E Ferguson St Ste 608
Tyler, TX 75702-5756

Mailing address

435 E Hudson St
Tyler, TX 75701-5512

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X990753 (TX)

Pediatric Registered Nurse: Definition to come...

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About NPI 1063081693

Kayla Marie Lane, RN's National Provider Identifier is 1063081693, issued on Jun 18, 2021. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Tyler, TX. The record was last updated on Jun 18, 2021.