Individual
LANE TANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
974 SW VETERANS WAY STE 2, REDMOND, OR 97756-2564
(541) 318-2883
(541) 548-2166
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(800) 328-8602
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
OR
237700000X
Hearing Instrument Specialist
Primary
HAS-P-10164714
OR
Other
Enumeration date
08/20/2014
Last updated
12/19/2018
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