| Doctor Name: | PAULA JEAN LANE |
| NPI Number: | 1740444561 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 81-151 |
| Business Practice Address: | 13170-b Central Ave Se Box 120 Albuquerque, NM - 871235588 |
| Business Phone Number: | 5053501700 |
| Business Fax Number: | 5053488546 |
| Mailing Address: | 13170-b Central Ave Se Box 120, ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871235588 |
| Phone Number: | 5053501700 |
| Fax Number: | 5053488546 |
| NPI Enumeration Date: | 07/10/2008 |
| NPI Last Update Date: | 07/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 81-151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |