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Individual

LANA BRIONNE MAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
151 W 7TH AVE STE 310, EUGENE, OR 97401-2676
(541) 220-8090
Mailing address
2073 OLYMPIC ST (COMMUNITY HEALTH CENTERS OF LANE COUNT, SPRINGFIELD, OR 97477-3413
(541) 682-3550
(541) 682-3551

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201605834
OR
163WG0000X
General Practice Registered Nurse
201605834
OR

Other

Enumeration date
09/30/2019
Last updated
10/02/2019
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