Individual
LANE ELISABETH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
102 LEXINGTON DR STE 100, MADISON, MS 39110-6952
(601) 973-1688
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-7015
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA00783
MS
363A00000X
Physician Assistant
Primary
PA00783
MS
Other
Enumeration date
02/15/2024
Last updated
03/22/2024
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