person
Dr. Michael Jennings Lane SR., DNPPMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Crown Point, Indiana
NPI 1457932337

Michael Jennings Lane SR. is a Psychiatric/Mental Health Nurse Practitioner based in Cedar Lake, IN and is specialized in Psychiatric/Mental Health. Michael Jennings Lane SR. practices in Crown Point, IN and has the professional credentials of DNPPMHNP-BC. The NPI Number for Michael Jennings Lane SR. is 1457932337 and holds a License No. 041354134 (Indiana).

The current practice location address for Michael Jennings Lane SR. is 6625 W Lincoln Hwy, Crown Point, IN and can be reached out via phone at 219-922-8051 and via fax at 219-922-8608.

Location: 6625 W Lincoln Hwy, Crown Point, IN, 46303-9077
person
Provider Profile Details
NPI Number
1457932337
Provider Name
Michael Jennings Lane SR.
Credential
DNPPMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
6625 W Lincoln Hwy, Crown Point, IN, 46303-9077
Phone Number
219-922-8051
Fax Number
219-922-8608
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6625 W Lincoln Hwy
City
State
Zip
46307-9678
Phone Number
219-922-8051
Fax Number
219-922-8608
person
Provider Business Mailing Address Details
Address
6625 W Lincoln Hwy
City
State
Zip
46307-9678
Phone Number
219-922-8051
Fax Number
219-922-8608
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
209023083 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
28230854A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
041354134 (Illinois)
Definition
Definition to come...
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