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Individual

LAYNE DETTOR LESNAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
750 REPUBLICAN ST BLDG F, SEATTLE, WA 98109-4766
(206) 598-4882
Mailing address
7501 GREENWAY CENTER DR, GREENBELT, MD 20770-3514

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R267392
MD

Other

Enumeration date
07/27/2023
Last updated
10/15/2024
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