| Organization Name: | EXPRESS LANE URGENT CARE INC. |
| NPI Number: | 1104075522 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL ANDERSON (PHYSICIAN ASSISTANT) |
| Mailing Address: | 711 E Hawkeye Ave Suite #3 Turlock |
| State: | CA US |
| Postal Code: | 953807505 |
| Phone Number: | 2096641550 |
| Fax Number: | 2096641548 |
| NPI Enumeration Date: | 09/09/2008 |
| NPI Last Update Date: | 05/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |