MISS Samantha Colleen Lane, IDC
NPI #1144549379 in Everett, Washington
Provider Information
- NPI Number
- 1144549379
- Entity Type
- Individual
- Name
- MISS Samantha Colleen Lane, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- May 27, 2010
- Last Updated
- Apr 2, 2024
Practice Location
- Address
- 2000 W MARINE VIEW DR # 2134
- City
- Everett
- State
- Washington
- ZIP Code
- 98207-2900
- Phone
- (425) 304-4343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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