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Jeremy Lane, P.A.-C
NPI 1144205220 · on the registry since 2005
Practice
- Address
- 3931 Louisiana Ave S
St Louis Park, MN 55426 - Phone
- (952) 993-3230
- Fax
- (952) 993-1748
- Organisation at this address
- Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 161
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota