Wendy Lane NP

NPI 1447639331 - Registered Nurse - 163WC0200X

NPI Details
NPI 1447639331
Gender Female
Enumeration Date 05/25/2015
Last Updated 11/03/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1705 HUNTINGTON LN
REDONDO BEACH CA, 90278-4113, US
Phone (813) 420-6220
Fax
Business Location
1705 HUNTINGTON LN
REDONDO BEACH CA, 90278-4113, US
Phone
Fax
Toxanomy
Taxonomy Code 163WC0200X
License State California
License Number 835647
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According to our database, Wendy Lane NP NPI is 1447639331, taxonomy code is 163WC0200X and license number is 835647, license state is located at California. Wendy Lane NP physically located at 1705 Huntington Ln, Redondo Beach CA, 90278-4113. NPI Number Wendy Lane NP has the Individual type.

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1447639331 NPI number is provided on an as is basis without warranty of any kind. 1447639331 is maintained by the National Plan & Provider Enumeration System. The contents of Wendy Lane NP are for informational purposes only.