Individual provider · Type 1 NPI

Jenean M. Lane, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1942225149 Active

Practice location

299 S 8th St
Philadelphia, PA 19106-4010

Call (215) 829-3409 Map

Fax (215) 925-9749

Mailing address

800 Walnut Street, 19th Floor
Philadelphia, PA 19104-5109

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA050909 (PA)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1942225149

Jenean M. Lane, PA-C's National Provider Identifier is 1942225149, issued on Jul 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 31, 2015.