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Individual
NEIL LACANLALE
Active
Individual
NEIL LACANLALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
95144496
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61318285
WA
Other
Enumeration date
03/04/2021
Last updated
04/12/2025
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