Individual
LANA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
680 CARRISA CT NW, LOS LUNAS, NM 87031-6964
(505) 203-3249
Mailing address
680 CARRISA CT NW, LOS LUNAS, NM 87031-6964
(505) 203-3249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R36154
NM
Other
Enumeration date
04/27/2014
Last updated
04/27/2014
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