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MICHAEL LANE, PA-C
PA-C
Physician Assistant
NPI: 1669415188IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA377(ID)
Dermatology Physician
Dermatology
Code: 207N00000X
M7247(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2001
Contact & Hours
- Address
- 388 E PARKCENTER BLVD
BOISE, ID 83706 - Phone
- (208) 424-9101
Quick Facts
- NPI
- 1669415188
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 25
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