Individual
JENNA K LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 MEDI PARK DR STE 2, AMARILLO, TX 79106-2105
(806) 350-7918
(806) 418-8982
Mailing address
101 W LOUIS HENNA BLVD STE 300, AUSTIN, TX 78728-1203
(512) 244-4272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
27314
MS
207L00000X
Anesthesiology Physician
T5604
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
T5604
TX
Other
Enumeration date
05/21/2015
Last updated
08/10/2023
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