Lane, Mctisa Michelle

Lane, Mctisa Michelle is an individual health care provider with primary practice located at 2817 Reilly St , Fort Liberty NC 28310-4056. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lane, Mctisa Michelle can be contacted via phone (910) 907-2575.

Contact Information

Primary practice address
2817 Reilly St Fort Liberty NC 28310-4056
Phone: (910) 907-2575
Fax: (910) 907-9606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5005342 North Carolina

Profile Details

NPI number 1669756177
LBN Legal business name Lane, Mctisa Michelle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2011
Last updated Jul 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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