| NPI | 1548374663 |
|---|---|
| Former Name | LANA A. DOXTATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME120852) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 50091-20) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-09-10 |