Individual
MRS. ALIX LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
169 RAWSON ST, LEICESTER, MA 01524-2017
(508) 868-6384
Mailing address
169 RAWSON ST, LEICESTER, MA 01524-2017
(508) 868-6384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
23796
CA
235Z00000X
Speech-Language Pathologist
Primary
8962
MA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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