Doctor Name: | DARLENE LYNN LANE |
NPI Number: | 1700170594 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA60181205 |
Business Practice Address: | 9433 4th St Ne Suite 104 Lake Stevens, WA - 982581653 |
Business Phone Number: | 3604512771 |
Business Fax Number: | 4253978681 |
Mailing Address: | 9433 4th St Ne, Suite 104 LAKE STEVENS |
State: | WA |
Postal Code: | 982581653 |
Phone Number: | 3604512771 |
Fax Number: | 4253978681 |
NPI Enumeration Date: | 06/08/2011 |
NPI Last Update Date: | 06/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60181205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |