Natasha Debra Lynn Lance

NPI #1164012555 in Chehalis, Washington

Provider Information

NPI Number: 1164012555
Entity Type: Individual
Name: Natasha Debra Lynn Lance
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Jan 20, 2021
Last Updated: Jan 20, 2021

Practice Location

Address: 135 W MAIN ST
City: Chehalis
State: Washington
ZIP Code: 98532-4817
Phone: (360) 748-4339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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