Lane, Roberta S

Lane, Roberta S is an individual health care provider with primary practice located at 719 Green Valley Rd Suite 209, Greensboro NC 27408-7014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lane, Roberta S can be contacted via phone (336) 272-9447.

Contact Information

Primary practice address
719 Green Valley Rd Suite 209 Greensboro NC 27408-7014
Phone: (336) 272-9447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 29697 North Carolina

Profile Details

NPI number 1851455943
LBN Legal business name Lane, Roberta S
Credentials PNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Mar 20th, 2013 - about 13 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 1851455943 NPPES
North Carolina Other 300046 NC BON PRESCRIBING NUMBER
North Carolina Other 78259 NC BON PRESCRIBING NUMBER

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