Individual provider · Type 1 NPI

Chris Allen Lane, PA-C

Medical Physician Assistant · Spring Hill, FL

NPI number 1639155484 Active

Practice location

5350 Spring Hill Dr
Spring Hill, FL 34606-4562

Fax (352) 686-9477

Mailing address

5759 N Carnation Dr
Beverly Hills, FL 34465-2255

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9103721 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1639155484

Chris Allen Lane, PA-C's National Provider Identifier is 1639155484, issued on Dec 22, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Spring Hill, FL. The record was last updated on Jan 9, 2012.