Individual
MEGAN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA.,
Contact information
Practice address
1210 NW 16TH ST, FRUITLAND, ID 83619-2202
(208) 452-8600
(208) 452-8601
Mailing address
2514 E NICKLAUS AVE, SPOKANE, WA 99223-9567
(509) 743-8072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0858
SD
363A00000X
Physician Assistant
PA-1350
ID
363A00000X
Physician Assistant
Primary
PA70046176
WA
Other
Enumeration date
03/26/2013
Last updated
03/05/2026
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