Individual provider · Type 1 NPI

Lane Keiser Roberts, PA-C

Surgical Physician Assistant · Stamford, CT

NPI number 1124769807 Active

Practice location

1 Hospital Plz
Stamford, CT 06902-3602

Fax (203) 276-5560

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5571 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1124769807

Lane Keiser Roberts, PA-C's National Provider Identifier is 1124769807, issued on Apr 5, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stamford, CT. The record was last updated on Oct 11, 2023.