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Contact Information

CRISTY M LANE, MS FNP
120 W MAIN ST
ELMWOOD, IL61529
 Phone: 309-742-2921
 Fax: 309-742-8411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CRISTY M LANE · (Female)

NPI # 1669434668
Status Active
Credentials MS FNP
Entity Individual
Enumeration date 04/05/2006
Last updated 10/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209003603
  • Other 500011117 RR MEDICARE
  • IL Other 7200613 BCBS OF ILLINOIS
  • IL Other 099052 HEALTH ALLIANCE
  • IL Other 198663 HEALTHLINK
Hospital affiliation(s)
  • PEKIN MEMORIAL HOSPITAL - (Acute Care)
    600 SOUTH 13TH STREET
    PEKIN, IL 61554
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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