Shelby Lane, | |
5200 Harroun Rd, Sylvania, OH 43560-2168 | |
(989) 928-8873 | |
Not Available |
Full Name | Shelby Lane |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 5200 Harroun Rd, Sylvania, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750091716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Entity Name | Promedica Central Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
Mailing Address | Practice Location Address |
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Shelby Lane, 7896 Dell Rd, Saline, MI 48176-9743 Ph: () - | Shelby Lane, 5200 Harroun Rd, Sylvania, OH 43560-2168 Ph: (989) 928-8873 |
Hana J Awada-mitchell, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 5308 Harroun Rd Ste 165, Sylvania, OH 43560 Phone: 419-824-5608 Fax: 419-882-3686 | |
Cynthia M Parke, CNM, MSN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7135 Sylvania Ave, Building 1 Suite C, Sylvania, OH 43560 Phone: 419-843-4836 Fax: 419-841-8458 | |
Erica M Krause, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 5308 Harroun Rd Ste 165, Sylvania, OH 43560 Phone: 419-824-5608 Fax: 419-882-3686 |