Individual
RYAN MICHAEL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 944-7701
Mailing address
700 E SPRING ST, STE 200, NEW ALBANY, IN 47150-2926
(812) 945-7536
(812) 945-7542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PENDING
IN
Other
Enumeration date
10/30/2019
Last updated
03/10/2021
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