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Mr. Michael J Lane, PA-C
Dermatology Physician in Boise, Idaho
NPI 1669415188

Michael J Lane is a Dermatology Physician based in Boise, ID. Michael J Lane practices in Boise, ID and has the professional credentials of PA-C. The NPI Number for Michael J Lane is 1669415188 and holds a License No. PA377 (Idaho).

The current practice location address for Michael J Lane is 388 E. Parkcenter Blvd., Boise, ID and can be reached out via phone at 208-424-9101 and via fax at 208-424-5072.

Location: 388 E. Parkcenter Blvd., Boise, ID, 83701-1603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669415188
Provider Name
Michael J Lane
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
388 E. Parkcenter Blvd., Boise, ID, 83701-1603
Phone Number
208-424-9101
Fax Number
208-424-5072
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806272300 05 ID
806272301 05 ID
000010140814 01 ID BLUE SHIELD OF ID; BOISE
DI593 01 ID BLUE CROSS OF ID
000010145063 01 ID BLUE SHIELD OF ID; EMMETT
institution
Provider Business Practice Location Address Details
Address
388 E. Parkcenter Blvd.
City
Boise
State
Idaho
Zip
83706
Phone Number
208-424-9101
Fax Number
208-424-5072
person
Provider Business Mailing Address Details
Address
388 E. Parkcenter Blvd.
City
Boise
State
Idaho
Zip
83706
Phone Number
208-424-9101
Fax Number
208-424-5072
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
M7247 (Idaho)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA377 (Idaho)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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