JACK LANE, PTA

Skilled Nursing Facility · LEWISTON, ID

Individual Active NPI 1275902520

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Skilled Nursing Facility314000000XPTA-3672ID

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.