MRS. Jennifer Lauren Lane, PA
NPI #1245776244 in Simi Valley, California
Provider Information
- NPI Number
- 1245776244
- Entity Type
- Individual
- Name
- MRS. Jennifer Lauren Lane, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Jan 13, 2017
- Last Updated
- Feb 15, 2018
Practice Location
- Address
- 2876 SYCAMORE DR
- City
- Simi Valley
- State
- California
- ZIP Code
- 93065-1530
- Phone
- (805) 527-6424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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