Physician Assistant
Mrs. TABITHA LANE PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1356650360 · enumerated 2010-09-26 · record updated 2026-05-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 715 S 9TH ST, CANON CITY, CO, 81212-4911 (719) 269-8820 Google Maps Apple Maps OpenStreetMap
- Mailing address 402 STAR RANCH RD, CANON CITY, CO, 81212-9831 (501) 987-2932 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · License PA.0003062 CO
- Physician Assistant 363A00000X · License 9120043 FL
- Physician Assistant 363A00000X · Primary · License PA.0003062 CO
In this directory
Locations and evidence
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Practice location
CANON CITY, CO, 812124911
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.