Individual
TIMOTHY PALMER LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3330 N 2ND ST STE 401, PHOENIX, AZ 85012-2371
(602) 606-8949
(602) 759-7409
Mailing address
3330 N 2ND ST STE 401, PHOENIX, AZ 85012-2371
(602) 606-8949
(602) 759-7409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AZ
Other
Enumeration date
08/30/2016
Last updated
11/18/2025
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