National Provider Identifier
Latisha Lane, LPN
Latisha Lane, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in West Seneca, NY and a listed phone number of (716) 662-2040.
Profile Overview
- NPI
- 1134745540
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 22, 2020
- Last Updated
- June 22, 2020
Practice Location
- 326 Orchard Park RD
- West Seneca, NY 14224-2635
Phone: (716) 662-2040
Mailing Address
- 227 Thorn Ave
- Orchard Park, NY 14127-2600
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1134745540
- Entity Type
- Individual
- Last Name
- Lane
- First Name
- Latisha
- Credential
- LPN
- Mailing Street Address
- 227 Thorn Ave
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2600
- Mailing Country
- US
- Mailing Phone
- (716) 662-2040
- Mailing Fax
- (716) 662-0019
- Practice Street Address
- 326 Orchard Park RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-2635
- Practice Country
- US
- Practice Phone
- (716) 662-2040
- Practice Fax
- (716) 662-0019
- Enumeration Date
- June 22, 2020
- Last Updated
- June 22, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 22, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)