Lane O Heder, PA-C

NPI #1083641286 in Layton, Utah

Provider Information

NPI Number: 1083641286
Entity Type: Individual
Name: Lane O Heder, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 26, 2006
Last Updated: Jan 18, 2017

Practice Location

Address: 3225 W GORDON AVE
Address 2: SUITE 1
City: Layton
State: Utah
ZIP Code: 84041-6508
Phone: (801) 397-6150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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