Healthcare Provider Details

I. General information

NPI: 1326380544
Provider Name (Legal Business Name): MEGAN LANE PA.,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN TINDAL PA-C

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 E CENTRAL AVE STE 440
SPOKANE WA
99208-6290
US

IV. Provider business mailing address

PO BOX 31001-4114
PASADENA CA
91110-4114
US

V. Phone/Fax

Practice location:
  • Phone: 509-252-1977
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0858
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-1350
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.PA.70046176
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: