Individual
TREVOR LANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
419 S 2ND ST STE 2, RENTON, WA 98057-2234
(425) 203-7222
Mailing address
13261 179TH AVE E, BONNEY LAKE, WA 98391-4519
(702) 580-0522
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN60204613
WA
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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