Lance L Lane, PA-C
NPI #1023088655 in Belleville, Illinois
Provider Information
- NPI Number
- 1023088655
- Entity Type
- Individual
- Name
- Lance L Lane, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 25, 2006
- Last Updated
- May 16, 2023
Practice Location
- Address
- 4700 MEMORIAL DR STE 210
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5373
- Phone
- (618) 767-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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