Individual provider · Type 1 NPI
Samantha Colleen Lane, IDC
Independent Duty Corpsman · Everett, WA
Practice location
2000 W Marine View Dr # 2134
Everett, WA 98207-2900
Mailing address
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | None listed |
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
Independent Duty Corpsman: 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 othe…
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About NPI 1144549379
Samantha Colleen Lane, IDC's National Provider Identifier is 1144549379, issued on May 27, 2010. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Everett, WA. The record was last updated on Apr 2, 2024.