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1992418081 NPI number — STEPHANIE NICHOLE LANE PHARMD

NPI Number: 1992418081
Health Care Provider/Practitioner: STEPHANIE NICHOLE LANE PHARMD

Information about “1992418081” NPI (STEPHANIE NICHOLE LANE PHARMD) exists in 1992418081 in HTML format HTML  |  1992418081 in plain Text format TXT  |  1992418081 in PDF (Portable Document Format) PDF  |  1992418081 in an XML format XML  formats.

NPI Number : 1992418081 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992418081",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LANE",
    "FirstName": "STEPHANIE",
    "MiddleName": "NICHOLE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHEETS",
    "OtherFirstName": "STEPHANIE",
    "OtherMiddleName": "NICHOLE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4054 STATE ROUTE 13",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BELLVILLE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44813-9006",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "141-996-1259",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1987 W 4TH ST STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ONTARIO",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44906-1708",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "419-756-2559",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/04/2023",
    "LastUpdateDate": "01/04/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "03230071",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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