Individual provider · Type 1 NPI

Kristopher Olen Lane, FNP

Family Nurse Practitioner · Latta, SC

NPI number 1306378856 Active

About NPI 1306378856

Kristopher Olen Lane, FNP's National Provider Identifier is 1306378856, issued on Apr 3, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Latta, SC. The record was last updated on Apr 27, 2023.