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MARY L LANE

NURSE PRACTITIONER · DAVENPORT, FL

Provider

NPI
1568614303
Credential
Primary specialty
NURSE PRACTITIONER
Gender
Female
Medical school
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation year
2008

Practice

Address
101 PARK PLACE BLVD, DAVENPORT, FL 338376865
Phone
3523624223
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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