NPI 1003827478
Jason Todd Lane, CRNA
Practice location
- Address
- 215 Marion Ave, McComb, MS 39648-2705
- Phone
- (601) 249-5500
- Fax
- (601) 249-1709
- Mailing address
- 1210 Parklane Rd APT 7d, McComb, MS 39648-4904
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1003827478
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Aug 2006
- Record last updated
- 7 Feb 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.