Individual
MS. WENDY ANN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CRNFA
Contact information
Practice address
2622 E 6TH ST, DULUTH, MN 55812-1504
(218) 340-3958
Mailing address
2622 E 6TH ST, DULUTH, MN 55812-1504
(218) 340-3958
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R133454-2
MN
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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