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NPI Code Detail

MEDICARE: TONYA COLEMAN LANE FNP-C

MEDICARE: TONYA COLEMAN LANE FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse230927NC
2363LF0000XFamily Nurse Practitioner5015025NC

General Provider Information

NPI Number : 1255009049
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA COLEMAN LANE FNP-C
Provider Business Mailing Address
First Line : 700 N MAIN ST
Second Line :
City : STANLEY
State : NC
Zip : 28164-1438
Country : US
Telephone Number : 704-834-8920
Fax Number :
Provider Business Practice Location Address
First Line : 700 N MAIN ST
Second Line :
City : STANLEY
State : NC
Zip : 28164-1438
Country : US
Telephone Number : 704-834-8920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2021
Last Update Date : 02/21/2023

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Directions to “ TONYA COLEMAN LANE FNP-C” Practice Location

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