Mira B Lane
Mira B Lane is a Case Manager/Care Coordinator in Fort Pierce, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2011 S 25th St Ste 108Fort Pierce, FL 34947-4795
Phone: (770) 242-1079
Fax: (772) 242-1296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1073296901 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2023 |
| Last updated in NPPES | August 8, 2023 |
| Certification date | August 8, 2023 |
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