Individual
MR. AARON LANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, MPH, MSPAS
Contact information
Practice address
520 SHASTA WAY, MILL VALLEY, CA 94941-3727
(415) 847-5623
Mailing address
520 SHASTA WAY, MILL VALLEY, CA 94941-3727
(415) 847-5623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
21151
CA
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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