Doctor Name: | KELLY M LANE |
NPI Number: | 1154376192 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAAA |
License Number: | 003001 |
Business Practice Address: | 6326 Hospital Pkwy Building 1000, Suite 111 Johns Creek, GA - 30097 |
Business Phone Number: | 4047788311 |
Business Fax Number: | 6784951585 |
Mailing Address: | Po Box 70128, MARIETTA |
State: | GA |
Postal Code: | 300070128 |
Phone Number: | 7705781800 |
Fax Number: | 7705786168 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 03/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 367H00000X |
License Number: | 003001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Anesthesiologist Assistant |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |