National Provider Identifier Database

TABATHYA LANE APRN
Psychiatric/Mental Health


Contact Information

TABATHYA LANE APRN
9118 BUCKALOO BEND RD
KINGSTON, OK73439-2021
Phone: 580-504-3090
Fax:
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health 363LP0808X
Family Health 364SF0001X

* Indicates primary specialty

NPI Profile & details for TABATHYA LANE APRN

NPI Number 1528896396
Legal business name
LBN
TABATHYA LANE APRN
Authorized official TABATHYA TALIAFERRO - (SOLE OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/23/2024
Last updated 07/31/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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