person
Shelby A Lane, PA-C
Surgical Physician Assistant in Fort Lauderdale, Florida
NPI 1710230651

Shelby A Lane is a Surgical Physician Assistant based in Fort Lauderdale, FL and is specialized in Surgical. Shelby A Lane practices in Fort Lauderdale, FL and has the professional credentials of PA-C. The NPI Number for Shelby A Lane is 1710230651 and holds a License No. PA 9106913 (Florida).

The current practice location address for Shelby A Lane is 3319 Ne 15Th Ct, Fort Lauderdale, FL and can be reached out via phone at 954-257-7859 and via fax at 954-616-8063.

Location: 3319 Ne 15Th Ct, Fort Lauderdale, FL, 33304-1709
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Provider Profile Details
NPI Number
1710230651
Provider Name
Shelby A Lane
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3319 Ne 15Th Ct, Fort Lauderdale, FL, 33304-1709
Phone Number
954-257-7859
Fax Number
954-616-8063
Provider Enumeration Date
10/16/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G9675Z 01 FL MEDICARE ID-TYPE UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
3319 Ne 15Th Ct
City
State
Zip
33304-1709
Phone Number
954-257-7859
Fax Number
954-616-8063
person
Provider Business Mailing Address Details
Address
3319 Ne 15Th Ct
City
State
Zip
33304-1709
Phone Number
954-257-7859
Fax Number
954-616-8063
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 9106913 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA 9106913 (Florida)
Definition
Definition to come...
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