Individual
ALYSSA ROSALIE IRENE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
2608 KWINA RD, BELLINGHAM, WA 98226-9291
(360) 312-2000
(360) 384-2336
Mailing address
2608 KWINA RD, BELLINGHAM, WA 98226-9291
(360) 312-2000
(360) 384-2336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60637630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN60637630
WA STATE LICENSE NUMBER
WA
Enumeration date
02/12/2020
Last updated
10/29/2024
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