NPI 1124282918
Phyllis Odell Lane, LPN
Practice location
- Address
- 278 Lasalle Lefall Dr, Quincy, FL 32351-5324
- Phone
- (850) 539-2888
- Fax
- (850) 539-2766
Registered specialties
Licensed Vocational Nurse
Primary
Registry record
- NPI
- 1124282918
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jul 2008
- Record last updated
- 11 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.