Individual
MS. LANE ROSCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA- C
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(610) 568-3637
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-0799
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054150
PA
Other
Enumeration date
10/21/2009
Last updated
09/29/2016
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