Individual provider · Type 1 NPI

Jacob Lane

Surgical Physician Assistant · Des Moines, IA

NPI number 1992248744 Active

Practice location

411 Laurel St Ste 3250
Des Moines, IA 50314-3026

Call (515) 643-6400 Map

Fax (515) 643-5816

Mailing address

PO Box 1475
Des Moines, IA 50305-1475

Other practice locations

  • 2945 S Dobson Rd, Mesa, AZ 85202-7941 · (480) 969-4138
  • 2945 S Dobson Rd, Mesa, AZ 85202-7941 · (480) 969-4138

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X860285905 (AZ)
Surgical Physician Assistant Primary 363AS0400X089244 (IA)

Surgical Physician Assistant: Definition to come...

18 other providers at this address

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About NPI 1992248744

Jacob Lane's National Provider Identifier is 1992248744, issued on Nov 28, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Des Moines, IA. The record was last updated on Mar 4, 2021.