IndividualActive
Jacob Lane
NPI 1992248744 · Surgical Physician Assistant · Des Moines, IA
Provider details
- NPI number
- 1992248744
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 860285905 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
411 Laurel St Ste 3250
Des Moines, IA 50314-3026
Phone: (515) 643-6400
Fax: (515) 643-5816
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1475
Des Moines, IA 50305-1475
Additional practice locations (2)
- 2945 S Dobson RdMesa, AZ 85202-7941Phone: (480) 969-4138
- 2945 S Dobson RdMesa, AZ 85202-7941Phone: (480) 969-4138
Registry dates
- Enumerated
- 2016-11-28
- Last updated
- 2021-03-04
- Certified
- 2021-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.