Individual provider · Type 1 NPI

Paul Ryan Lane, PA-C

Physician Assistant · Mount Vernon, IL

NPI number 1962023820 Active

Practice location

4101 N Water Tower Pl
Mount Vernon, IL 62864-6296

Call (618) 244-6222 Map

Fax (618) 246-1247

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.007905 (IL)

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 1962023820

Paul Ryan Lane, PA-C's National Provider Identifier is 1962023820, issued on May 1, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Dec 18, 2020.