Individual
LYNNE CHARLENE LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 AVENUE D, SNOHOMISH, WA 98290-1718
(360) 563-7264
Mailing address
17130 51ST AVE SE, BOTHELL, WA 98012-6705
(425) 876-2854
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN00120618
WA
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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