Individual provider · Type 1 NPI

Lane Dudo, FNP-C

Nurse Practitioner · Tyler, TX

NPI number 1164994430 Active

Practice location

910 E Houston St Ste 100
Tyler, TX 75702-8363

Fax (903) 606-1218

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP139752 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1164994430

Lane Dudo, FNP-C's National Provider Identifier is 1164994430, issued on Dec 26, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Nov 13, 2025.