Individual provider · Type 1 NPI
Mary P. Lane, NP
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1629237284
Active
Practice location
Stony Brook Univ Med Ical Ctr, T12, 080 Health Science Center
Stony Brook, NY 11794-0001
Fax (631) 444-1535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F300770 (NY) |
| Pediatric Nurse Practitioner | 363LP0200X | F380761 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1629237284
Mary P. Lane, NP's National Provider Identifier is 1629237284, issued on Jun 8, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Jun 8, 2008.