Mrs Phyllis Odell Lane, LPN | |
278 Lasalle Lefall Dr, Quincy, FL 32351-5324 | |
(850) 539-2888 | |
(850) 539-2766 |
Full Name | Mrs Phyllis Odell Lane |
---|---|
Gender | Female |
Speciality | Licensed Vocational Nurse |
Location | 278 Lasalle Lefall Dr, Quincy, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124282918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | PN5156289 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Phyllis Odell Lane, LPN 278 Lasalle Lefall Dr, Quincy, FL 32351-5324 Ph: (850) 539-2888 | Mrs Phyllis Odell Lane, LPN 278 Lasalle Lefall Dr, Quincy, FL 32351-5324 Ph: (850) 539-2888 |
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