Individual
LANE DUANE KOESTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 GREENE ST, COLUMBIA, SC 29208-4001
(803) 777-7412
Mailing address
1601 GREENE ST, COLUMBIA, SC 29208-4001
(803) 777-7412
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30681
SC
Other
Enumeration date
01/10/2025
Last updated
10/20/2025
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