Julia Elizabeth Lane

NPI #1194550954 in Macomb, Michigan

Provider Information

NPI Number: 1194550954
Entity Type: Individual
Name: Julia Elizabeth Lane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Sep 3, 2024
Last Updated: Sep 3, 2024

Practice Location

Address: 22125 RICHMOND CT
City: Macomb
State: Michigan
ZIP Code: 48042-1749
Phone: (586) 256-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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