Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ALICE BULLARD LANE
Active Sole ProprietorMARY ALICE BULLARD LANE is a Community Health Worker healthcare provider located in ALTAMONTE SPRINGS, Florida. NPI 1629378948 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · ALTAMONTE SPRINGS, FL
Registration Details
- NPI Number
- 1629378948
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2010 (15.821979445759 yrs)
- Last Updated
- Nov 2, 2010
- Licenses
-
688942598 (FL)688942596 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
530 YEW CTALTAMONTE SPRINGS, FL, 327141459Browse FL providers · Browse ZIP 32714
- Phone
- 4078627632
- Fax
- 4078628739
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in ALTAMONTE SPRINGS, FL
| Name | Credential | NPI |
|---|---|---|
| YVONNE DALE JENKINS LEWIS | — | 1376853846 |
| MR. PAUL R QUALLS JR. | — | 1316768203 |
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.