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1134870728
SCOTT ANDERSON LANE
BOISE, ID
NPI
1134870728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95019746)
Enumeration Date
2022-01-14
Last Update Date
2023-12-07
Business Address
SCOTT ANDERSON LANE FNP
9149 W BLACK EAGLE DR
BOISE, ID 83709-1572
Phone number: 208-501-3999
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Mailing Address
SCOTT ANDERSON LANE FNP
9149 W BLACK EAGLE DR
BOISE, ID 83709-1572
Phone number: 208-501-3999
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