Search › Ohio › 104100000X
Annie Lane
NPI 1205358009 · on the registry since 2017
Practice
- Address
- 902 Gallia St
Portsmouth, OH 45662 - Phone
- (740) 529-2125
- Organisation at this address
- Phoenix Group Home, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 59
Additional practice sites
- 1418 Maccorkle Ave Sw Ste A, Charleston, WV
- 705 Washington St, Ravenswood, WV
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
- Licence states on file
- WV, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio