Individual
MR. CHRIS ALLEN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5350 SPRING HILL DR, SPRING HILL, FL 34606-4562
(352) 688-8116
(352) 686-9477
Mailing address
5759 N CARNATION DR, BEVERLY HILLS, FL 34465-2255
(352) 746-6141
(353) 746-6141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103721
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292510900
—
FL
Enumeration date
12/22/2005
Last updated
01/09/2012
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