Lane, Brian E

Lane, Brian E is an individual health care provider with primary practice located at 47 W Owens Ave , North Las Vegas NV 89030-6865. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Lane, Brian E can be contacted via phone (702) 307-4635.

Contact Information

Primary practice address
47 W Owens Ave North Las Vegas NV 89030-6865
Phone: (702) 307-4635
Fax: (702) 307-4631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA575 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA575 Nevada

Profile Details

NPI number 1689686578
LBN Legal business name Lane, Brian E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Aug 13th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689686578 NPPES
Nevada MEDICAID 1689686578

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