MRS. Mary Kathleen Lane, PA-C

NPI #1083738595 in Lebanon, Oregon

Provider Information

NPI Number
1083738595
Entity Type
Individual
Name
MRS. Mary Kathleen Lane, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Mar 19, 2007
Last Updated
Nov 5, 2020

Practice Location

Address
325 PARK ST
State
Oregon
ZIP Code
97355-4229
Phone
(541) 451-7200

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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