Individual provider · Type 1 NPI
Michelle L. Lane
Nurse Practitioner · Syracuse, NY
Practice location
301 Prospect Ave Fl 6
Syracuse, NY 13203-1807
Fax (315) 423-6823
Other practice locations
- 2220 N Beltline Blvd, Columbia, SC 29204-3907 · (839) 600-9101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 32016 (SC) |
| Nurse Practitioner Primary | 363L00000X | 344578 (NY) |
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 1639730690
Michelle L. Lane's National Provider Identifier is 1639730690, issued on Jun 21, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 4, 2026.