Lane, Terri Renea

Lane, Terri Renea is an individual health care provider with primary practice located at 619 19Th Street South , Birmingham AL 35233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Lane, Terri Renea can be contacted via phone (205) 934-6600.

Contact Information

Primary practice address
619 19Th Street South Birmingham AL 35233
Phone: (205) 934-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1046237 Alabama

Profile Details

NPI number 1952331498
LBN Legal business name Lane, Terri Renea
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 10th, 2011 - about 15 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 1952331498 NPPES
Alabama Other 051527838 BLUE CROSS
Alabama MEDICAID 891010080 BLUE CROSS

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