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
ZIP Code
98207-2900
Phone
(425) 304-4343

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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