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Individual

MRS. MARCIA LYNN LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCRN, BSN

Contact information

Practice address
126 15TH ST SE, PUYALLUP, WA 98372-3409
(253) 445-8663
Mailing address
15436 BEL RED RD STE 100, REDMOND, WA 98052-5536
(425) 644-4100

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00120126
WA

Other

Enumeration date
09/06/2007
Last updated
09/06/2007
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