PAUL RYAN LANE

MOUNT VERNON, IL
NPI1962023820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.007905)
Enumeration Date2020-05-01
Last Update Date2020-12-18
Business Address
PAUL RYAN LANE PA-C
4101 N WATER TOWER PL
MOUNT VERNON, IL 62864-6296
Phone number: 618-244-6222
Mailing Address
PAUL RYAN LANE PA-C
4101 N WATER TOWER PL
MOUNT VERNON, IL 62864-6296
Phone number: 618-244-6222
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