MARY K LANE

LACEY, WA
NPI1437596301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60325583)
Enumeration Date2013-05-31
Last Update Date2021-05-20
Business Address
MARY K LANE ARNP
4525 3RD AVE SE STE 200
LACEY, WA 98503-1010
Phone number: 360-754-3934
Mailing Address
MARY K LANE ARNP
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number:
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