David J. Lane, Ltd.

LBN: David J. Lane, Ltd.
David J. Lane, Ltd. is an health care organization with primary practice located at 4117 S Water Tower Pl Suite C, Mount Vernon IL 62864-6293. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as the primary health care specialty. David J. Lane, Ltd. can be contacted via phone (618) 242-0672, or through Lane, David Joseph via phone (618) 242-0672.

Contact Information

Primary practice address
4117 S Water Tower Pl Suite C Mount Vernon IL 62864-6293
Phone: (618) 242-0672
Fax: (618) 242-0862
Website:
Map and Directions
Authorized official contact:
Name: Lane, David Joseph AU.D.
Phone: (618) 242-0672

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147000854 Illinois

Profile Details

NPI number 1821158833
LBN Legal business name David J. Lane, Ltd.
DBA Doing business as
Authorized official Lane, David Joseph AU.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 30th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821158833 NPPES
Illinois MEDICAID 354668512001
Illinois Other 83222520

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