Individual
JOY L LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1313 FISH HATCHERY RD, MADISON, WI 53715-1911
(608) 252-8000
(608) 252-8203
Mailing address
1313 FISH HATCHERY RD, MADISON, WI 53715-1911
(608) 252-8000
(608) 252-8203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
924-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730137985
—
WI
Enumeration date
05/04/2006
Last updated
12/04/2020
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