Kristen G Lane Nurse Practitioner
2142 W Broad St, Athens, GA 30606-3506


Kristen G Lane is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1932541562. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 0042454431. The primary specialty is NURSE PRACTITIONER. The organization is ATHENS AREA UROLOGY PC. The address is 2142 W Broad St, Athens, GA 30606-3506. The zip code is 30606.


Kristen G Lane · 2142 W Broad St, Athens, GA 30606-3506

Nation Provider ID 1932541562
PAC ID by PECOS 0042454431
Professional Enrollment ID I20130925000650
Last Name LANE
First Name KRISTEN
Middle Name G
Gender F
Medical School Name MEDICAL COLLEGE OF GEORGIA
Graduation Year 2007
Primary Specialty NURSE PRACTITIONER
Primary Specialty ATHENS AREA UROLOGY PC
Phone Number 7066129401
Group Practice PAC ID 0446491641
Number of Group Practice Members 9
Address 2142 W BROAD ST
ATHENS, GA 306063506
Claims Based Hospital Affiliation