Individual
MRS. TABITHA MARIE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
715 S 9TH ST, CANON CITY, CO 81212-4911
(719) 269-8820
Mailing address
402 STAR RANCH RD, CANON CITY, CO 81212-9831
(501) 987-2932
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3062
CO
363A00000X
Physician Assistant
9120043
FL
363A00000X
Physician Assistant
Primary
PA.0003062
CO
363AM0700X
Medical Physician Assistant
PA.0003062
CO
Other
Enumeration date
09/26/2010
Last updated
05/11/2026
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