Individual
JACQUELINE RENEE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4214 ANDREWS HWY STE 110, MIDLAND, TX 79703-4864
(432) 689-2491
Mailing address
4214 ANDREWS HWY STE 110, MIDLAND, TX 79703-4864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
02/13/2026
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