Provider Demographics
NPI:1245834753
Name:STEWART, LANA (CD(PALS))
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:CD(PALS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:952 SW CAMPUS DR APT 18A1
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-5064
Mailing Address - Country:US
Mailing Address - Phone:206-366-5134
Mailing Address - Fax:
Practice Address - Street 1:952 SW CAMPUS DR APT 18A1
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-5064
Practice Address - Country:US
Practice Address - Phone:206-366-5134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty