IndividualActive
Samantha Lane, IDC
NPI 1144549379 · Independent Duty Corpsman · Everett, WA
Provider details
- NPI number
- 1144549379
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Military Health Care Provider171000000X
Other Service Providers
Practice location
2000 W Marine View Dr # 2134
Everett, WA 98207-2900
Phone: (425) 304-4343
Approximate (ZIP-level) locationGet directions
Mailing address
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Registry dates
- Enumerated
- 2010-05-27
- Last updated
- 2024-04-02
- Certified
- 2024-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.