Individual
TAWNY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W B ST STE J, SPRINGFIELD, OR 97477-4594
(541) 762-1971
(541) 762-1974
Mailing address
360 E 10TH AVE, EUGENE, OR 97401-3273
(541) 689-6983
(541) 689-2063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
02/27/2023
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