Paul Lane, PA-C

NPI 1962023820 · on the registry since 2020 · sole proprietor

Practice

Address: 4101 N Water Tower Pl
Mount Vernon, IL 62864
Phone: (618) 244-6222
Fax: (618) 246-1247
Organisation at this address: Crossroads Physician Corp
Deaconess Illinois Crossroads Inc
National Healthcare Of Mt Vernon Inc
National Healthcare Of Mt. Vernon, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-12-18

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 Illinois