Individual
CAROLE LEWIS CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26812 40TH AVE S, KENT, WA 98032-7229
(253) 945-4000
Mailing address
33330 8TH AVE S, FEDERAL WAY, WA 98003-6325
(253) 945-2000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60414078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LP60414078
—
WA
Enumeration date
01/11/2023
Last updated
01/11/2023
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