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Search › Missouri › 363L00000X

Nicole Lane, NP ADULT GERONTOLOGY

NPI 1942744222 · on the registry since 2016

Practice

Address
12401 Olive Blvd
Saint Louis, MO 63141
Phone
(314) 390-0135
Organisation at this address
Kids Docs, Pc
Joyce Dewoskin, Inc.
Ossp Imaging Of St. Louis
Lifework Transitions, Llc
Beautification Concepts Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-28

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 Missouri