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Individual

SUSAN M KLOSS LANEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, GNP-BC

Contact information

Practice address
810 VERMONT AVE NW, WASHINGTON, DC 20420-0001
(202) 461-6049
Mailing address
160 N SHORE DR, STOW, MA 01775-1508
(978) 562-3117

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R039620
ME
363LG0600X
Gerontology Nurse Practitioner
R039620
ME

Other

Enumeration date
05/11/2006
Last updated
04/10/2017
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