MIKENZIE LANE

BELLEVUE, NE
NPI1689337784
Former NameMIKENZIE LANE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-10-16
Last Update Date2023-12-15
Business Address
MIKENZIE LANE PA-C
3503 SAMSON WAY STE 108
BELLEVUE, NE 68123-4303
Phone number: 402-592-2055
Mailing Address
MIKENZIE LANE PA-C
3503 SAMSON WAY STE 108
BELLEVUE, NE 68123-4303
Phone number: 402-592-2055