Jordan Lane
Jordan Lane is a Physician Assistant in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2012.
- Licensed in
- SC
- In the registry since
- 2012
Practice location Address checks out
171 Ashley AveCharleston, SC 29425-8908
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 1798 (SC) |
|---|
Record details
| NPI number | 1619224003 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 6, 2012 |
| Last updated in NPPES | October 24, 2013 |
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Emma Kate Kroske
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Marc A Krzystek, DMSPA-C
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MS. Helen Fout Kulseth, PA-C
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