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Contact Information

LANE FAMILY CLINIC
207 W 10TH STREET
WRIGHT CITY, OK74766
 Phone: 580-981-2104
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LANE FAMILY CLINIC · (Female)

NPI # 1891004412
Status Active
Credentials
Entity Individual
Enumeration date 09/30/2010
Last updated 09/30/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 60099
  • OK Medicaid 200248480A
  • OK Other 1306088927 NPI INDIVIDUAL
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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