Individual provider · Type 1 NPI

Michael J. Lane, PA-C

Physician Assistant · Boise, ID

NPI number 1669415188 Active

Practice location

388 E. Parkcenter Blvd.
Boise, ID 83706

Fax (208) 424-5072

Mailing address

PO Box 1603
Boise, ID 83701-1603

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA377 (ID)
Dermatology Physician 207N00000XM7247 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1669415188

Michael J. Lane, PA-C's National Provider Identifier is 1669415188, issued on Jun 13, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Dec 5, 2014.