Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lance L Lane, PA-C

Individual provider Medical Physician Assistant · NPI 1023088655

Lance L Lane, PA-C is a Physician Assistant in Belleville, Illinois. Qualified in 2002, 24 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
24
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4700 Memorial Dr Ste 210
Belleville, IL 62226-5373
Phone: (618) 767-7700
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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 085001883 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085001883 (IL)

Record details

NPI number1023088655
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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