Fern Lane Company, LLC
NPI #1497255293 in La Conner, Washington
Provider Information
- NPI Number
- 1497255293
- Entity Type
- Organization
- Organization Name
- Fern Lane Company, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 19, 2018
- Last Updated
- Jan 15, 2020
Practice Location
- Address
- 708 E MORRIS ST
- Address 2
- SUITE B
- City
- La Conner
- State
- Washington
- ZIP Code
- 98257
- Phone
- (360) 630-5141
Authorized Official
- Name
- DR. BRIANNA WILSON, ARNP
- Title
- OWNER
- Phone
- (360) 941-5519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
| Clinic/Center - Primary Care — Primary Care |
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