Individual
CAMILLE LYN LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2852
Mailing address
8626 192ND ST SW, EDMONDS, WA 98026-6126
(425) 771-0910
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI00000472-CD
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
482267
REGISTERED DIETITIAN
WA
05
—
8435158
—
WA
01
—
DI00000472-CD
CERTIFIED DIETITIAN
WA
Enumeration date
10/05/2006
Last updated
07/08/2007
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