Individual
ANGELA MICHELLE LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7308 BRIDGEPORT WAY W STE 201, LAKEWOOD, WA 98499
(253) 582-7257
(253) 582-1617
Mailing address
7308 BRIDGEPORT WAY W STE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60903290
WA
Other
Enumeration date
03/01/2018
Last updated
11/27/2018
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