Jeremy Lane is a Surgical in St Louis Park, Minnesota. Jeremy Lane practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jeremy Lane is 1144205220. The last update date is 2019-03-29.
Jeremy Lane's current location address is 3931 Louisiana Ave S, St Louis Park, Minnesota. You can contact this provider via phone number 9529933230 and fax number 9529931748. The mailing address for Jeremy Lane is 3931 Louisiana Ave S, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Lane |
|---|---|
| Address | 3931 Louisiana Ave S, St Louis Park, Minnesota |
| Phone Number | 9529933230 |
| Fax Number | 9529931748 |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1144205220 |
|---|---|
| Provider Enumeration Date | 2005-12-12 |
| Last Updated Date | 2019-03-29 |
Provider Mailing Address Detail
| Address | 3931 Louisiana Ave S |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554265000 |
| Phone Number | 9529933230 |
| Fax Number | 9529931748 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 9937 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the Jeremy Lane's unique identification number?
The Jeremy Lane has been assigned the NPI (National Provider Identifier) Number 1144205220 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jeremy Lane is geographically located?
The Jeremy Lane is physically situated at the following location: 3931 Louisiana Ave S, St Louis Park, MN, 554265000.
What is Jeremy Lane's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeremy Lane's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
When was the Jeremy Lane's 1144205220 issued?
The Jeremy Lane's 1144205220 was issued on 2005-12-12.
As of what date was the information pertaining to Jeremy Lane, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeremy Lane, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-03-29.
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