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Contact Information

SAMANTHA C LANE, IDC
2000 W MARINE VIEW DR # 2134
EVERETT, WA98207-2900
 Phone: 425-304-4343
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for SAMANTHA C LANE · (Female)

NPI # 1144549379
Status Active
Credentials IDC
Entity Individual
Enumeration date 05/27/2010
Last updated 04/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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