Organization
TERESA L LANE, RN - NURSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA LYNETTE LANE RN (REGISTERED NURSE, MATERNAL SUPPORT)
(253) 381-8816
Entity
Organization
Contact information
Practice address
12812 159TH ST E, PUYALLUP, WA 98374-9116
(253) 381-8816
Mailing address
12812 159TH ST E, PUYALLUP, WA 98374-9116
(253) 381-8816
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN00108778
WA
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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