Individual provider · Type 1 NPI

Lane Austin Walkowicz, PA

Surgical Physician Assistant · West Roxbury, MA

NPI number 1659620557 Active

Practice location

1400 Vfw Pkwy
West Roxbury, MA 02132-4927

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA4443 (MA)
Surgical Physician Assistant Primary 363AS0400XPA4443 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1659620557

Lane Austin Walkowicz, PA's National Provider Identifier is 1659620557, issued on Sep 6, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Roxbury, MA. The record was last updated on Apr 4, 2016.