Individual provider · Type 1 NPI

Jennifer Lauren Lane, PA

Medical Physician Assistant · Simi Valley, CA

NPI number 1245776244 Active

Practice location

2876 Sycamore Dr
Simi Valley, CA 93065-1530

Mailing address

20516 Germain St
Chatsworth, CA 91311-2417

Other practice locations

  • 544 N Glendale Ave, Glendale, CA 91206-3311 · (818) 241-4331

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X54157 (CA)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1245776244

Jennifer Lauren Lane, PA's National Provider Identifier is 1245776244, issued on Jan 13, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Simi Valley, CA. The record was last updated on Feb 15, 2018.