Individual
JONATHAN CHRISTOPHER LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(909) 273-7526
Mailing address
683 WAIANAE AVE, SCHOFIELD BARRACKS, HI 96786
(808) 683-2778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
04/11/2024
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