Whalio Doctors

NPI 1154317717

Carolyn Grant Lane, CRNA

Practitioner Certified Registered Nurse Anesthetist Dover, DE

Practice location

Address
640 S State St, Dover, DE 19901-3530
Phone
(302) 674-4700
Mailing address
PO Box 10925, Wilmington, DE 19850-0925

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence L6-0A00205 (DE)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence L1-0014393 (DE)

Registry record

NPI
1154317717
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Sep 2005
Record last updated
12 Feb 2013

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.