Provider Demographics
NPI:1346436649
Name:LANE, MARGRETTE (PA)
Entity Type:Individual
Prefix:
First Name:MARGRETTE
Middle Name:
Last Name:LANE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:202 ROCK CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-3349
Mailing Address - Country:US
Mailing Address - Phone:251-928-3844
Mailing Address - Fax:251-928-3353
Practice Address - Street 1:202 ROCK CREEK PKWY
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-3349
Practice Address - Country:US
Practice Address - Phone:251-928-3844
Practice Address - Fax:251-928-3353
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical