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Carissa Lane, DPT
NPI 1336633973 · on the registry since 2018
Practice
- Address
- 105 Mariner Health Way Ste 213
St Augustine, FL 32086 - Phone
- (904) 217-4259
- Fax
- (904) 217-4251
- Organisation at this address
- Riverside Spine & Pain Physicians, Llc
Saint Augustine Rehabilitation Specialists LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 460 N Switzer Canyon Dr Ste 400, Flagstaff, AZ
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- FL, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-16
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 Florida