Individual
DR. DOUGLAS W LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D
Contact information
Practice address
1205 SE PROFESSIONAL MALL BLVD, SUITE 113, PULLMAN, WA 99163-5423
(509) 338-0848
(509) 334-3115
Mailing address
PO BOX 214, PULLMAN, WA 99163-0214
(509) 338-0848
(509) 334-3115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003471
WA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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