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SANDRA LANE
Nurse Practitioner
NPI: 1710587332IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
98524853102(UT)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
3852485-4405(UT)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 5974 FASHION POINT DR STE 110
SOUTH OGDEN, UT 84403 - Phone
- (801) 917-2270
Quick Facts
- NPI
- 1710587332
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 6
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