Mrs Phyllis Odell Lane, LPN is a
Licensed Vocational Nurse based in Quincy, Florida. Mrs Phyllis Odell Lane is licensed to practice in Florida (license number PN5156289) and her current practice location is
278 Lasalle Lefall Dr, Quincy, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 539-2888.
NPI number for Mrs Phyllis Odell Lane is 1124282918 and her current mailing address is 278 Lasalle Lefall Dr, Quincy, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124282918.
Provider's Profile
Full Name | Mrs Phyllis Odell Lane |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 278 Lasalle Lefall Dr, Quincy, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124282918
- Provider Enumeration Date: 07/11/2008
- Last Update Date: 07/11/2008
Medical Identifiers
Medical identifiers for Mrs Phyllis Odell Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124282918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | PN5156289 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Phyllis Odell Lane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Phyllis Odell Lane, LPN 278 Lasalle Lefall Dr, Quincy, FL 32351-5324 Ph: (850) 539-2888 | Mrs Phyllis Odell Lane, LPN 278 Lasalle Lefall Dr, Quincy, FL 32351-5324 Ph: (850) 539-2888 |
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