Most Relevant Information
Provider Data
| NPI Number: | 1003287111 |
| Provider Name: | AMBER LANE RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | 0001225785 |
Most Important Dates
| Enumeration Date: | 10/14/2015 |
| Last Updated: | 10/14/2015 |
Provider Practice Location
300 MED TECH PKWY
JOHNSON CITY
TN
376042277
Practice Location Phone/Fax
| Phone: | 4233023100 |
| Fax: |
Provider Mailing Location
2823 S ROAN ST
APT 207
JOHNSON CITY
TN
376017692
Provider Mailing Phone/Fax
| Phone: | 2762205484 |
| Fax: |