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Individual
SHAUNTAY M WASHINGTON-LANE
Active
Individual
SHAUNTAY M WASHINGTON-LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337971-01
NY
Other
Enumeration date
05/25/2020
Last updated
04/25/2024
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