Individual
SAMANTHA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SAVANNAH ROAD, LEWES, DE 19958
(302) 645-3300
Mailing address
29265 CHANNEL DRIVE, SELBYVILLE, DE 19975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0051730
DE
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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