Individual
MR. ANDREW LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
627 S ELLIOTT AVE, WENATCHEE, WA 98801-3195
(509) 888-5646
(509) 888-5648
Mailing address
145 S WORTHEN ST, WENATCHEE, WA 98801-3081
(509) 888-5646
(509) 888-5648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60679469
WA
Other
Enumeration date
09/20/2016
Last updated
11/16/2017
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