Individual
MR. JAME Z LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1264 E LATHAM AVE, HEMET, CA 92543-4445
(951) 925-3600
Mailing address
1264 E LATHAM AVE, HEMET, CA 92543-4445
(951) 925-3600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17132
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0PA171320
—
CA
05
—
GR0086790
—
CA
Enumeration date
06/26/2006
Last updated
09/16/2016
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