Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY KATHLEEN LANE, PA-C
ActiveMedical Physician Assistant · LEBANON, OR
Registration Details
- NPI Number
- 1083738595
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2007 (19.092927149208 yrs)
- Last Updated
- Nov 5, 2020
- Licenses
-
PA01341 (OR)085-000746 (IL)
Practice Information
- Address
-
325 PARK STLEBANON, OR, 973554229Browse OR providers · Browse ZIP 97355
- Phone
- 5414517200
- Fax
- 5414517207
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in LEBANON, OR
| Name | Credential | NPI |
|---|---|---|
| MS. JINNY A FARRAR | PA-C | 1003068933 |
| REDA TAWFIK BASSALY | PA-C | 1043551930 |
| JOSHUA CHRISTOPHER SCHIRRIPA | PA-C | 1326679366 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.