MIKENZIE LANE, PA-C
Physician Assistant
Active
Individual
NPI: 1689337784
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 2634 (NE) |
Frequently Asked Questions
NPI 1689337784 is the National Provider Identifier for MIKENZIE LANE, PA-C, a Physician Assistant provider located in Gretna, NE. This NPI was enumerated on October 16, 2021.
MIKENZIE LANE, PA-C practices at 11946 STANDING STONE DR, Gretna, NE 68028.
Quick Facts
- NPI
- 1689337784
- Type
- Individual
- Enumerated
- Oct 16, 2021
- Last Updated
- Jan 31, 2025
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