Individual
LANA MCCUTCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 473-6061
Mailing address
45 WILMINGTON DR, PETALUMA, CA 94952-2213
(415) 290-6442
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
366214
CA
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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