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

Mary Alice Bullard Lane

Individual provider Community Health Worker · NPI 1629378948

Mary Alice Bullard Lane is a Community Health Worker in Altamonte Springs, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
Specialties on file
2

Practice location Address checks out

530 Yew Ct
Altamonte Springs, FL 32714-1459
Phone: (407) 862-7632
Fax: (407) 862-8739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 688942598 (FL)
Community Health Worker Taxonomy 172V00000X · Licence 688942596 (FL)

Record details

NPI number1629378948
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 2, 2010
Last updated in NPPESNovember 2, 2010

Other providers in Altamonte Springs