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Search › Louisiana › 363A00000X

Mitchell Lane, PA-C

NPI 1750522868 · on the registry since 2009

Practice

Address
510 E Stoner Ave
Shreveport, LA 71101
Phone
(318) 221-8411
Organisation at this address
Obvamc
Shreveport Vamc
Shreveport Vamc
Shreveport Vamc
Shreveport Vamc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
494

Additional practice sites

  • 1107 E Marshall Ave, Longview, TX

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-24

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 Louisiana