Individual provider · Type 1 NPI

Mikenzie Lane, PA-C

Physician Assistant · Gretna, NE

NPI number 1689337784 Active

Practice location

11946 Standing Stone Dr
Gretna, NE 68028-8094

Call (402) 354-2273 Map

Fax (402) 815-4510

Mailing address

PO Box 3755
Omaha, NE 68103-0755

Other practice locations

  • 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 · (402) 592-2055

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X2634 (NE)

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 1689337784

Mikenzie Lane, PA-C's National Provider Identifier is 1689337784, issued on Oct 16, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gretna, NE. The record was last updated on Jan 31, 2025.