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Individual

JENEAN M LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
299 S 8TH ST, PHILADELPHIA, PA 19106-4010
(215) 829-3409
(215) 925-9749
Mailing address
800 WALNUT STREET, 19TH FLOOR, PHILADELPHIA, PA 19104-5109
(215) 829-3409

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA050909
PA

Other

Enumeration date
07/12/2006
Last updated
07/31/2015
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