Individual
MEGAN ELIZABETH LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
4900 IVEY RD NW STE 1720, ACWORTH, GA 30101-4101
(770) 917-5737
Mailing address
4685 W HIGHWAY 166, CARROLLTON, GA 30117-6547
(912) 463-3045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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