Individual
MIEKE DENISE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
900 NE 139TH ST STE 206, VANCOUVER, WA 98685-2519
(360) 487-1360
Mailing address
14508 NE 20TH AVE, SUITE 300, VANCOUVER, WA 98686-6424
(360) 433-0022
(360) 433-6159
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
DO25698
OR
207V00000X
Obstetrics & Gynecology Physician
Primary
OP00002124
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278045
—
OR
Enumeration date
05/08/2006
Last updated
09/03/2024
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