Marcus Lane, PA-C

NPI #1750903746 in Souderton, Pennsylvania

Provider Information

NPI Number: 1750903746
Entity Type: Individual
Name: Marcus Lane, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 12, 2020
Last Updated: May 12, 2020

Practice Location

Address: 205 MIDDLE PARK DR
City: Souderton
State: Pennsylvania
ZIP Code: 18964-2243
Phone: (303) 323-5844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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