MEGAN LANE

FRUITLAND, ID
NPI1326380544
Other NameMEGAN TINDAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1350)
Additional Taxonomies363A00000X Physician Assistant
(Licence: SD  0858)
Enumeration Date2013-03-26
Last Update Date2024-10-08
Business Address
MEGAN LANE PA.,
1210 NW 16TH ST
FRUITLAND, ID 83619-2202
Phone number: 208-452-8600
Mailing Address
MEGAN LANE PA.,
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: