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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

NPI Number 1891004412
LBN Legal business name LANE FAMILY CLINIC
Authorized official KARYN LANE - (NURSE PRACTITIONER/ SOLE OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2010
Last updated 09/30/2010 - About 16 years ago
Identifiers
OK License # 60099
OK Medicaid 200248480A
OK Other 1306088927 NPI INDIVIDUAL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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