SHELBY A LANE

FORT LAUDERDALE, FL
NPI1710230651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  PA 9106913)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: FL  PA 9106913)
Enumeration Date2012-10-16
Last Update Date2019-05-07
Business Address
SHELBY A LANE PA-C
3319 NE 15TH CT
FORT LAUDERDALE, FL 33304-1709
Phone number: 954-257-7859
Mailing Address
SHELBY A LANE PA-C
3319 NE 15TH CT
FORT LAUDERDALE, FL 33304-1709
Phone number: 954-257-7859