Organization
PARAGOND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN LANE PA-C (OWNER/PROVIDER)
(208) 789-0220
Entity
Organization
Contact information
Practice address
3715 E OVERLAND RD STE 120, MERIDIAN, ID 83642-8301
(208) 789-0220
(208) 789-0047
Mailing address
3715 E OVERLAND RD STE 120, MERIDIAN, ID 83642-8301
(087) 890-2202
(205) 789-0047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
03/20/2023
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