Individual provider · NPI-1
Lane Alderfer, PAC
Physician Assistant · Bethlehem, PA
NPI number1235952243
StatusActive
Last updated in NPPESNov 7, 2024
Details
- NPI
- 1235952243
- Entity type
- Individual (NPI-1)
- Name
- Lane Alderfer
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2024
- Certification date
- Nov 7, 2024
- Last updated
- Nov 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA066085 | PA | Yes |
Practice location
801 Ostrum StBethlehem, PA 18015-1000
Phone 484-526-4641 · Fax 484-426-3027
Mailing address
801 Ostrum StBethlehem, PA 18015-1000
Phone 484-526-4641 · Fax 484-426-3027
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