LANE DUANE KOESTNER

COLUMBIA, SC
NPI1316757321
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC  30681)
Enumeration Date2025-01-10
Last Update Date2025-10-20
Business Address
LANE DUANE KOESTNER
1601 GREENE ST
COLUMBIA, SC 29208-4001
Phone number: 803-777-7412
Mailing Address
LANE DUANE KOESTNER
1601 GREENE ST
COLUMBIA, SC 29208-4001
Phone number: 803-777-7412
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