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Contact Information

JULIETTE B LANE, CRNA
200 HAETHORNE LANE
CHARLOTTE, NC28204
 Phone: 704-384-4239
 Fax: 704-384-5636
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JULIETTE B LANE · (Female)

NPI # 1063479228
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 04/28/2006
Last updated 08/19/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 071657
  • NC Medicaid 8052132
  • SC Medicaid NAN509
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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