Individual
DANIEL C.E. LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3101 NORTHUP WAY STE 201, BELLEVUE, WA 98004-1449
(425) 455-3600
(425) 455-3920
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 455-3600
(425) 455-3920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60118042
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60118042
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004322
—
WA
Enumeration date
11/12/2009
Last updated
05/13/2024
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