David J Lane is a Audiologist in Mount Vernon, Illinois. David J Lane practices all healthcare services and medical treatments related to Audiologist. The NPI Number for David J Lane is 1164472155. The last update date is 2010-08-30.
David J Lane's current location address is 4117 S Water Tower Pl, Mount Vernon, Illinois. You can contact this provider via phone number 6182420672 and fax number 6182420862. The mailing address for David J Lane is 4117 S Water Tower Pl, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David J Lane |
|---|---|
| Address | 4117 S Water Tower Pl, Mount Vernon, Illinois |
| Phone Number | 6182420672 |
| Fax Number | 6182420862 |
| Sole Proprietor | Y |
| Credentials | AU.D., CCC |
NPI Number Detail
| NPI Number | 1164472155 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2010-08-30 |
Provider Mailing Address Detail
| Address | 4117 S Water Tower Pl |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628646293 |
| Phone Number | 6182420672 |
| Fax Number | 6182420862 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 147-000854 |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Post Comment/ Review Below
What is the unique identifier code issued to David J Lane by the Centers for Medicare & Medicaid Services (CMS)?
The David J Lane has been assigned the NPI (National Provider Identifier) 1164472155. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where David J Lane is physically located?
The David J Lane is situated at the following address: 4117 S Water Tower Pl, Mount Vernon, IL 628646293.
What is David J Lane's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David J Lane is Audiologist, and the taxonomy code that categorizes this field of expertise is 231H00000X.
On what date did the David J Lane receive its 1164472155 assignment from the Centers for Medicare & Medicaid Services?
The David J Lane was assigned its 1164472155 by the Centers for Medicare & Medicaid Services on 2006-05-11.
When was the information related to David J Lane most recently updated or refreshed?
The details pertaining to the David J Lane, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-30.