Individual
SUSAN ABDALLAH LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD. LCCE, CLC
Contact information
Practice address
3644 45TH AVE S, MINNEAPOLIS, MN 55406-2929
(612) 810-1544
Mailing address
3644 45TH AVE S, MINNEAPOLIS, MN 55406-2929
(612) 810-1544
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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