Individual
HEATHER A LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 UNIVERSITY DR LOT 907, BISMARCK, ND 58504-6609
(701) 955-4979
Mailing address
1119 UNIVERSITY DR LOT 907, BISMARCK, ND 58504-6609
(701) 955-4979
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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