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Mrs. Jennifer Lauren Lane, PA
Medical Physician Assistant in Simi Valley, California
NPI 1245776244

Jennifer Lauren Lane is a Medical Physician Assistant based in Chatsworth, CA and is specialized in Medical. Jennifer Lauren Lane practices in Simi Valley, CA and has the professional credentials of PA. The NPI Number for Jennifer Lauren Lane is 1245776244 and holds a License No. 54157 (California).

The current practice location address for Jennifer Lauren Lane is 2876 Sycamore Dr, Simi Valley, CA and can be reached out via phone at 805-527-6424.

Location: 2876 Sycamore Dr, Simi Valley, CA, 91311-2417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245776244
Provider Name
Jennifer Lauren Lane
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2876 Sycamore Dr, Simi Valley, CA, 91311-2417
Phone Number
805-527-6424
Fax Number
Provider Enumeration Date
01/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2876 Sycamore Dr
City
Simi Valley
State
California
Zip
93065-1530
Phone Number
805-527-6424
Fax Number
person
Provider Business Mailing Address Details
Address
2876 Sycamore Dr
City
Simi Valley
State
California
Zip
93065-1530
Phone Number
805-527-6424
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
54157 (California)
Definition
Definition to come...
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