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Contact Information

LILLIAM ALVAREZ LANE, NP
3626 OLD OAKWOOD RD
OAKWOOD, GA30566-2805
 Phone: 904-647-0490
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LILLIAM ALVAREZ LANE · (Female)

NPI # 1528601630
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/21/2019
Last updated 03/12/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 244640
  • GA License # RN244640
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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