Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL RYAN LANE, PA-C
Active Sole ProprietorPAUL RYAN LANE, PA-C is a Physician Assistant healthcare provider located in MOUNT VERNON, Illinois. NPI 1962023820 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1962023820
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2020 (6.32709353874 yrs)
- Last Updated
- Dec 18, 2020
- License
-
085.007905 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4101 N WATER TOWER PLMOUNT VERNON, IL, 628646296Browse IL providers · Browse ZIP 62864
- Phone
- 6182446222
- Fax
- 6182461247
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MOUNT VERNON, IL
| Name | Credential | NPI |
|---|---|---|
| MS. REBECCA ANN LAMCZIK | PA-C | 1467428151 |
| MICHELLE BURWELL | PA-C | 1841239316 |
| MS. CATHY DIANE LISENBY | PA-C | 1346356524 |
| SHIRLEY DALLMIER | P.A. | 1750497061 |
| CHERYL ALICIA BAGGETT | PA | 1699855767 |
| DEVIN D HAERTLING | PA-C | 1144526963 |
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.