Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL J LANE, PA-C
ActiveMR. MICHAEL J LANE, PA-C is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1669415188 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BOISE, ID
Registration Details
- NPI Number
- 1669415188
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2006 (20.145614543949 yrs)
- Last Updated
- Dec 5, 2014
- Licenses
-
PA377 (ID)M7247 (ID)
Practice Information
- Address
-
388 E. PARKCENTER BLVD.BOISE, ID, 83706Browse ID providers · Browse ZIP 83706
- Phone
- 2084249101
- Fax
- 2084245072
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Dermatology
Other Physician Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MS. YELENA SHUEY | PA-C | 1124029939 |
| JEFFREY D SMITH | PA C | 1013905793 |
| CHADWICK ALDEN FISHER | PA | 1497744338 |
| RACHEL KING | PA | 1205826245 |
| DARRELL L KING | PA | 1770573644 |
| THOMAS F DOUTHIT | PA-C | 1023008414 |
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.