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Search › Iowa › 363AS0400X

Jacob Lane

NPI 1992248744 · on the registry since 2016

Practice

Address
411 Laurel St Ste 3250
Des Moines, IA 50314
Phone
(515) 643-6400
Fax
(515) 643-5816
Organisation at this address
Athletico Ltd
Mercy Clinics Inc
Mercy Clinics Inc
Mercy Clinics Inc
Mercy Clinics Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
287

Additional practice sites

  • 2945 S Dobson Rd, Mesa, AZ
  • 2945 S Dobson Rd, Mesa, AZ

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363AS0400X
Licence states on file
AZ, IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-04

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 Iowa