Individual provider · Type 1 NPI
Lisa Anne Lane, RN
Adult Psychiatric/Mental Health Registered Nurse · Detroit, MI
NPI number
1922770544
Active
Practice location
2925 Russell St
Detroit, MI 48207-4825
Mailing address
26704 Ashton Dr
Woodhaven, MI 48183-1973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 4704212640 (MI) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1922770544
Lisa Anne Lane, RN's National Provider Identifier is 1922770544, issued on Oct 1, 2021. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Detroit, MI. The record was last updated on Oct 1, 2021.