Individual
KATHERINE JEAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
8720 14TH AVE S, SEATTLE, WA 98108-4807
(206) 762-3730
Mailing address
8720 14TH AVE S, SEATTLE, WA 98108-4807
(206) 762-3730
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60848938
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/27/2018
Last updated
06/21/2019
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