Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Latoya Demetrist Lane, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1902107725

Latoya Demetrist Lane, FNP-BC is a Nurse Practitioner in Saint Louis, Missouri. Graduated from University of Alabama School of Medicine in 2009, 17 years ago. Practices with Cs Pacs 3 Southeast LLC, a 126-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
17
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2010
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

12101 Woodcrest Executive Dr Ste 210
Saint Louis, MO 63141-5047
Phone: (314) 317-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-107524 (AL)

Record details

NPI number1902107725
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 10, 2010
Last updated in NPPESMay 13, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Cs Pacs 3 Southeast Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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