Individual
DR. LANA NYSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1426 FOWLER ST, RICHLAND, WA 99352-4717
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10490
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60824167
WA
Other
Enumeration date
03/03/2011
Last updated
03/19/2018
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