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
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 54157 (CA) |
Medical Physician Assistant: Definition to come...
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Other medical physician assistant providers in Simi Valley
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.