Individual provider · Type 1 NPI

Latoya Demetrist Lane, FNP-BC

Family Nurse Practitioner · St. Louis, MO

NPI number 1902107725 Active

Practice location

12101 Woodcrest Executive Dr, Suite 210
St. Louis, MO 63141-5047

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-107524 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1902107725

Latoya Demetrist Lane, FNP-BC's National Provider Identifier is 1902107725, issued on Nov 10, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on May 13, 2015.