Lane, Mary Kathleen
Lane, Mary Kathleen is an individual health care provider with primary practice located at 325 Park St , Lebanon OR 97355-4229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lane, Mary Kathleen can be contacted via phone (541) 451-7200.Contact Information
Primary practice address
325 Park St
Lebanon OR 97355-4229
Phone: (541) 451-7200
Fax: (541) 451-7207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA01341 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085-000746 | Illinois |
Profile Details
| NPI number | 1083738595 |
|---|---|
| LBN Legal business name | Lane, Mary Kathleen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Nov 5th, 2020 - about 6 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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