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Individual
WENDY LANE
Active
Individual
WENDY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
835647
CA
363LF0000X
Family Nurse Practitioner
Primary
95003170
CA
Other
Enumeration date
05/25/2015
Last updated
11/03/2015
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