Individual
MEGHAN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
PA07002
TX
363AM0700X
Medical Physician Assistant
Primary
PA07002
TX
Other
Enumeration date
12/10/2010
Last updated
02/06/2018
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