Lane, Melissa Diane

Lane, Melissa Diane is an sole proprietor health care provider with primary practice located at 4909 Nw 27Th Ct # B , Gainesville FL 32606-6590. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Lane, Melissa Diane can be contacted via phone (352) 377-6008.

Contact Information

Primary practice address
4909 Nw 27Th Ct # B Gainesville FL 32606-6590
Phone: (352) 377-6008
Fax: (352) 377-7364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X MA46448 Florida

Profile Details

NPI number 1437227550
LBN Legal business name Lane, Melissa Diane
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437227550 NPPES
Florida Other C3924 BCBS PROVIDER NUMBER
Florida Other MA46448 BCBS PROVIDER NUMBER

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