NPI 1023088655

Lance L Lane, PAC

Practitioner Physician Assistant Belleville, IL

Practice location

Address: 4700 Memorial Dr STE 210, Belleville, IL 62226-5373
Phone: (618) 767-7700

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085001883 (IL)

Other Physician Assistant providers in Illinois →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 085001883 (IL)

Registry record

NPI: 1023088655
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2006
Record last updated: 16 May 2023

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.