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Individual
LANA MARIE ELLIOTT
Active
Individual
LANA MARIE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000181921
TN
363LF0000X
Family Nurse Practitioner
Primary
APN0000022714
TN
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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