Individual
JESSICA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3085 N SWAN RD, TUCSON, AZ 85712-1259
(520) 323-3099
(520) 323-3460
Mailing address
3085 N SWAN RD, TUCSON, AZ 85712-1259
(520) 323-3099
(520) 323-3460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
61160
AZ
Other
Enumeration date
03/03/2015
Last updated
04/30/2026
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