Individual provider · Type 1 NPI

Shelby A. Lane, PA-C

Surgical Physician Assistant · Fort Lauderdale, FL

NPI number 1710230651 Active

Practice location

3319 NE 15th Ct
Fort Lauderdale, FL 33304-1709

Call (954) 257-7859 Map

Fax (954) 616-8063

Other practice locations

  • 3319 NE 15th Ct, Fort Lauderdale, FL 33304-1709 · (954) 257-7859

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA 9106913 (FL)
Surgical Physician Assistant Primary 363AS0400XPA 9106913 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1710230651

Shelby A. Lane, PA-C's National Provider Identifier is 1710230651, issued on Oct 16, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Lauderdale, FL. The record was last updated on May 7, 2019.