NPI 1689606667

Brandon Lane, PA

Practitioner Emergency Medicine Physician Caldwell, ID

Practice location

Address: 1717 Arlington Ave, Caldwell, ID 83605-4802
Phone: (208) 459-4641
Mailing address: 818 McKinley St, Boise, ID 83712-6416

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence PA-413 (ID)

Other Emergency Medicine providers in Idaho →

Registry record

NPI: 1689606667
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2006
Record last updated: 8 Jul 2007

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.