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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID BALLARD LANE JR., LMSW, LLP, LPC

Active Sole Proprietor

Psychologist · TAWAS CITY, MI

Registration Details

NPI Number
1356481014
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2007 (19.249056408868 yrs)
Last Updated
Sep 11, 2025
Licenses
6401000213 (MI)
6301003884 (MI)
6801016231 (MI)
Sole Proprietor
Yes

Practice Information

Address
1199 HARRIS AVE
TAWAS CITY, MI, 487639681
Browse MI providers · Browse ZIP 48763
Phone
9893628636
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist
Additional Specialty
Clinical Social Worker
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.