Individual provider · Type 1 NPI

Tabatha Nikita Lane

Student in an Organized Health Care Education/Training Program · Stone Mountain, GA

NPI number 1306581517 Active

Practice location

503 Whitney Chase
Stone Mountain, GA 30088-4232

Call (786) 548-5154 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306581517

Tabatha Nikita Lane's National Provider Identifier is 1306581517, issued on May 2, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stone Mountain, GA. The record was last updated on May 2, 2022.