Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY LANE JR., P.A.-C.
ActiveMR. JEREMY LANE JR., P.A.-C. is a Surgical Physician Assistant healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1144205220 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1144205220
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2005 (20.631193300121 yrs)
- Last Updated
- Mar 29, 2019
- License
-
9937 (MN)
Practice Information
- Address
-
3931 LOUISIANA AVE SST LOUIS PARK, MN, 554265000Browse MN providers · Browse ZIP 55426
- Phone
- 9529933230
- Fax
- 9529931748
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| ANGELA WOYNO | PA-C | 1982680690 |
| MR. JAMES N CAVALLARO | PA-C | 1730166729 |
| LUCIA F PIERSON | OPA | 1023168432 |
| BRADY DUANE BAARTMAN | PA-C | 1780979104 |
| EMILY C PETERSON | PA-C | 1578979654 |
| MELISSA CRAFT | PA-C | 1386184844 |
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.