| Amy Lane Aprn, L.l.c. | |
|
410 Salem Tpke Bozrah CT 06334-1519 | |
| (860) 823-0245 | |
| (860) 213-8350 |
| Full Name | Amy Lane Aprn, L.l.c. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 410 Salem Tpke, Bozrah, Connecticut |
| Authorized Official Name and Position | Amy Michelle Lane (APRN) |
| Authorized Official Contact | 8608230245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Lane Aprn, L.l.c. 410 Salem Tpke Bozrah CT 06334-1519 Ph: (860) 823-0245 | Amy Lane Aprn, L.l.c. 410 Salem Tpke Bozrah CT 06334-1519 Ph: (860) 823-0245 |
| NPI Number | 1548681786 |
|---|---|
| Provider Enumeration Date | 12/13/2013 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548681786 | NPI | - | NPPES |
| 004236346 | Medicaid | CT |
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