person
Mrs. Mary Kathleen Lane, PA-C
Medical Physician Assistant in Lebanon, Oregon
NPI 1083738595

Mary Kathleen Lane is a Medical Physician Assistant based in Corvallis, OR and is specialized in Medical. Mary Kathleen Lane practices in Lebanon, OR and has the professional credentials of PA-C. The NPI Number for Mary Kathleen Lane is 1083738595 and holds a License No. PA01341 (Oregon).

The current practice location address for Mary Kathleen Lane is 325 Park St, Lebanon, OR and can be reached out via phone at 541-451-7200 and via fax at 541-451-7207. You can also correspond with Mary Kathleen Lane through the mailing address at PO BOX 1193, CORVALLIS, OR - 97339-1193 (mailing address contact number: ).

Location: 325 Park St, Lebanon, OR, 97339-1193
person
Provider Profile Details
NPI Number
1083738595
Provider Name
Mary Kathleen Lane
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
325 Park St, Lebanon, OR, 97339-1193
Phone Number
541-451-7200
Fax Number
541-451-7207
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
325 Park St
City
State
Zip
97355-4229
Phone Number
541-451-7200
Fax Number
541-451-7207
person
Provider Business Mailing Address Details
Address
325 Park St
City
State
Zip
97355-4229
Phone Number
541-451-7200
Fax Number
541-451-7207
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01341 (Oregon)
Definition
Definition to come...
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