Provider Demographics
NPI:1740575729
Name:LANE, NATASHA DANIELLE BELT (APRN)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:DANIELLE BELT
Last Name:LANE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:4071 TATES CREEK CENTRE DR
Mailing Address - Street 2:202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3062
Mailing Address - Country:US
Mailing Address - Phone:859-971-4685
Mailing Address - Fax:859-971-4602
Practice Address - Street 1:3220 IRVIN COBB DR
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-0337
Practice Address - Country:US
Practice Address - Phone:270-450-1240
Practice Address - Fax:270-450-1243
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2015-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3009150363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily