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Ms. Judy Lane, NP,RN
Adult Health Nurse Practitioner in San Rafael, California
NPI 1043420896

Judy Lane is an Adult Health Nurse Practitioner based in Novato, CA and is specialized in Adult Health. Judy Lane practices in San Rafael, CA and has the professional credentials of NP,RN. The NPI Number for Judy Lane is 1043420896 and holds a License No. 501901 (California).

The current practice location address for Judy Lane is 25 Mitchell Blvd, San Rafael, CA and can be reached out via phone at 415-472-2343 and via fax at 415-472-7636.

Location: 25 Mitchell Blvd, San Rafael, CA, 94949-6806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043420896
Provider Name
Judy Lane
Credential
NP,RN
Provider Entity Type
Individual
Gender
Female
Address
25 Mitchell Blvd, San Rafael, CA, 94949-6806
Phone Number
415-472-2343
Fax Number
415-472-7636
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25 Mitchell Blvd
City
San Rafael
State
California
Zip
94903-2007
Phone Number
415-472-2343
Fax Number
415-472-7636
person
Provider Business Mailing Address Details
Address
25 Mitchell Blvd
City
San Rafael
State
California
Zip
94903-2007
Phone Number
415-472-2343
Fax Number
415-472-7636
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
501901 (California)
Definition
Definition to come...
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