NPI Code Details Logo

NPI 1386819084

NPI 1386819084 : CONNIE E. LANS PA-C : ALMA, NE

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1386819084
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CONNIE E. LANS PA-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/24/2008
-----------------------------------------------------
    Last Update Date     |    07/29/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    717 BROWN ST 
-----------------------------------------------------
    City                 |    ALMA
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68920-2132
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    308-928-2151
-----------------------------------------------------
    Fax                  |    308-928-2560
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    717 BROWN ST 
-----------------------------------------------------
    City                 |    ALMA
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68920-2132
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    308-928-2151
-----------------------------------------------------
    Fax                  |    308-928-2560
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    1500
-----------------------------------------------------
    License Number State |    NE
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.