Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PHYLLIS ODELL LANE, LPN
Active Sole ProprietorMRS. PHYLLIS ODELL LANE, LPN is a Licensed Vocational Nurse healthcare provider located in QUINCY, Florida. NPI 1124282918 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · QUINCY, FL
Registration Details
- NPI Number
- 1124282918
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2008 (18.105279393676 yrs)
- Last Updated
- Jul 11, 2008
- License
-
PN5156289 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
278 LASALLE LEFALL DRQUINCY, FL, 323515324Browse FL providers · Browse ZIP 32351
- Phone
- 8505392888
- Fax
- 8505392766
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
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.