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NPI 1013022235

IndividualActive

Lana Coppernoll, EFDA, CDA

NPI 1013022235 · Dental Assistant · Camas, WA

Provider details

NPI number: 1013022235
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: EFDA, CDA
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Dental AssistantPrimary126800000X
Dental Providers

Practice location

2053 Nw Fargo Ct

Camas, WA 98607

Phone: (380) 833-4505

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

2053 Nw Fargo Ct

Camas, WA 98607-7953

Registry dates

Enumerated: 2006-08-20
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Lana Coppernoll, EFDA, CDA — NPI 1013022235, Camas, WA | NPI Central