Individual
MR. ADRIAN K LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
655 W 8TH ST, UFJP ORTHOPEDICS DEPT, JACKSONVILLE, FL 32209-6511
(904) 393-3984
(904) 244-6742
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910284-00
—
FL
05
—
317585412A
—
GA
Enumeration date
04/03/2006
Last updated
12/06/2007
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