Most Relevant Information
Provider Data
| NPI Number: | 1003047325 |
| Provider Name: | LANE D LOOKA FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163WE0003X |
| Specialty: | Registered Nurse |
| License Number: | 165719 |
Most Important Dates
| Enumeration Date: | 08/04/2009 |
| Last Updated: | 01/04/2021 |
Provider Practice Location
1001 E JOHNSON ST
HOLYOKE
CO
807341854
Practice Location Phone/Fax
| Phone: | 9708542241 |
| Fax: | 9708543887 |
Provider Mailing Location
1001 E JOHNSON ST
HOLYOKE
CO
807341854
Provider Mailing Phone/Fax
| Phone: | 9708542241 |
| Fax: | 9708543887 |