Individual
MARY LANESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPD
Contact information
Practice address
3032 COKER DR, DAYTON, OH 45440-2130
(937) 601-2273
Mailing address
3032 COKER DR, DAYTON, OH 45440-2130
(937) 601-2273
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
11/02/2022
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