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Miss Samantha Colleen Lane, IDC
Independent Duty Corpsman in Everett, Washington
NPI 1144549379

Samantha Colleen Lane is a Independent Duty Corpsman based in San Diego, WA and is specialized in Independent Duty Corpsman. Samantha Colleen Lane practices in Everett, WA and has the professional credentials of IDC. The NPI Number for Samantha Colleen Lane is 1144549379 and holds a License No. (Washington).

The current practice location address for Samantha Colleen Lane is 2000 W Marine View Dr # 2134, Everett, WA and can be reached out via phone at 425-304-4343.

Location: 2000 W Marine View Dr # 2134, Everett, WA, 92134-1098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144549379
Provider Name
Samantha Colleen Lane
Credential
IDC
Provider Entity Type
Individual
Gender
Female
Address
2000 W Marine View Dr # 2134, Everett, WA, 92134-1098
Phone Number
425-304-4343
Fax Number
Provider Enumeration Date
05/27/2010
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
2000 W Marine View Dr # 2134
City
Everett
State
Washington
Zip
98207-2900
Phone Number
425-304-4343
Fax Number
person
Provider Business Mailing Address Details
Address
2000 W Marine View Dr # 2134
City
Everett
State
Washington
Zip
98207-2900
Phone Number
425-304-4343
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
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