MR. MITCHELL D LANE JR. PA-C
NPI 1750522868
Physician Assistant in Shreveport, LA

Active since March 19, 2009
510 E STONER AVE, SHREVEPORT, LA 71101(318) 221-8411 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2023, Nov 21, 2016 (2 updates tracked since 2016).

About Mr. Mitchell D Lane Jr. Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MITCHELL D LANE JR. PA-C (NPI 1750522868) is an individual physician assistant in Shreveport, Louisiana, licensed in Texas (PA06014) and active in the NPI registry since March 2009. He maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1750522868
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MITCHELL D LANE JR.Credential: PA-C
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing Address9514 Bonnydune DrShreveport, LA 71106-7506 · (318) 617-5047
Sole ProprietorNo
Enumeration DateMarch 19, 2009
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1750522868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA06014
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
510 E STONER AVE, Shreveport, LA 71101

Secondary Practice Location 1

Location 11107 E Marshall AveLongview, TX 75601-5602 · Phone (903) 758-5610 · Fax (903) 758-3124

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Licensed Practical Nurse
510 E STONER AVE
SHREVEPORT, LA 71101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Lane's NPI number?

The NPI number for Mitchell Lane is 1750522868. It was assigned to this individual provider in the NPPES registry on March 19, 2009.

Where is Mitchell Lane located?

Mitchell Lane practices at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (318) 221-8411.

What is Mitchell Lane's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Mitchell Lane accept?

Health plans from Blue Cross and Blue Shield of Texas and HMO Louisiana list Mitchell Lane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell Lane was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.