Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID J LANE, AU.D., CCC-A
Active Sole ProprietorDAVID J LANE, AU.D., CCC-A is a Audiologist healthcare provider located in MOUNT VERNON, Illinois. NPI 1164472155 is currently active in the NPPES registry. Verify at CMS.
Audiologist · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1164472155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.220798916314 yrs)
- Last Updated
- Aug 30, 2010
- License
-
147-000854 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4117 S WATER TOWER PLSUITE CMOUNT VERNON, IL, 628646293Browse IL providers · Browse ZIP 62864
- Phone
- 6182420672
- Fax
- 6182420862
- Primary Specialty
-
Audiologist
231H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.