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Individual

MR. LEE J LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
105 W 8TH AVE, STE 418, SPOKANE, WA 99204-2302
(509) 747-3081
(509) 455-8462
Mailing address
105 W 8TH AVE, STE 418, SPOKANE, WA 99204-2302
(509) 747-3081
(509) 455-8462

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30005017
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9624941
WA
Enumeration date
07/01/2006
Last updated
12/04/2008
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