Lane, Paul Ryan

Lane, Paul Ryan is an sole proprietor health care provider with primary practice located at 4101 N Water Tower Pl , Mount Vernon IL 62864-6296. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lane, Paul Ryan can be contacted via phone (618) 244-6222.

Contact Information

Primary practice address
4101 N Water Tower Pl Mount Vernon IL 62864-6296
Phone: (618) 244-6222
Fax: (618) 246-1247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.007905 Illinois

Profile Details

NPI number 1962023820
LBN Legal business name Lane, Paul Ryan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2020
Last updated Dec 18th, 2020 - about 5 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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