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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON LANE, COTA/L

Active

SHANNON LANE, COTA/L is a Specialist healthcare provider located in PALMETTO, Florida. NPI 1093089179 is currently active in the NPPES registry. Verify at CMS.

Specialist · PALMETTO, FL

Registration Details

NPI Number
1093089179
Provider Type
Individual
Gender
Female
NPI Issued
Mar 7, 2012 (14.452916630683 yrs)
Last Updated
Aug 7, 2014
Licenses
2054 (TN)
OTA11297 (FL)

Practice Information

Address
410 10TH AVE W
PALMETTO, FL, 342215032
Browse FL providers · Browse ZIP 34221
Phone
9417223582
Fax
9417298322
Primary Specialty
Specialist
174400000X

Other Specialist Providers in PALMETTO, FL

Name Credential NPI
NICOLE A DEITRICK LMT 1184638447
BRENDA VANLANDINGHAM LMT 1134257371
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.