Lane, Thomas Jason

Lane, Thomas Jason is an individual health care provider with primary practice located at 4011 Westchase Blvd Ste 225 , Raleigh NC 27607-3978. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Lane, Thomas Jason can be contacted via phone (919) 828-9937.

Contact Information

Primary practice address
4011 Westchase Blvd Ste 225 Raleigh NC 27607-3978
Phone: (919) 828-9937
Fax: (919) 828-4287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 005002027 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 005002027 North Carolina

Profile Details

NPI number 1740395466
LBN Legal business name Lane, Thomas Jason
Credentials FNP-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jan 17th, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740395466 NPPES
North Carolina MEDICAID 7006352

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