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Jacob Lane
Surgical Physician Assistant in Des Moines, Iowa
NPI 1992248744

Jacob Lane is a Surgical Physician Assistant based in Des Moines, IA and is specialized in Surgical. Jacob Lane practices in Des Moines, IA. The NPI Number for Jacob Lane is 1992248744 and holds a License No. 860285905 (Iowa).

The current practice location address for Jacob Lane is 411 Laurel St Ste 3250, Des Moines, IA and can be reached out via phone at 515-643-6400 and via fax at 515-643-5816. You can also correspond with Jacob Lane through the mailing address at PO BOX 1475, DES MOINES, IA - 50305-1475 (mailing address contact number: 515-643-6400).

Location: 411 Laurel St Ste 3250, Des Moines, IA, 50305-1475
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Provider Profile Details
NPI Number
1992248744
Provider Name
Jacob Lane
Credential
Provider Entity Type
Individual
Gender
Male
Address
411 Laurel St Ste 3250, Des Moines, IA, 50305-1475
Phone Number
515-643-6400
Fax Number
515-643-5816
Provider Enumeration Date
11/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
411 Laurel St Ste 3250
City
State
Zip
50314-3026
Phone Number
515-643-6400
Fax Number
515-643-5816
person
Provider Business Mailing Address Details
Address
411 Laurel St Ste 3250
City
State
Zip
50314-3026
Phone Number
515-643-6400
Fax Number
515-643-5816
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
860285905 (Arizona)
Definition
Definition to come...
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