Lane, Mikenzie
Lane, Mikenzie is an individual health care provider with primary practice located at 3503 Samson Way Ste 108 , Bellevue NE 68123-4303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lane, Mikenzie can be contacted via phone (402) 592-2055.Contact Information
Primary practice address
3503 Samson Way Ste 108
Bellevue NE 68123-4303
Phone: (402) 592-2055
Fax: (402) 592-2419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1689337784 |
|---|---|
| LBN Legal business name | Lane, Mikenzie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2021 |
| Last updated | Dec 15th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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