Individual
CARINA ELIZABETH LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3009 98TH ST, HIGHLAND, IN 46322-3343
(773) 954-6900
Mailing address
7951 CALUMET AVE # 1155, MUNSTER, IN 46321-1215
(773) 312-3877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.117138
IL
104100000X
Social Worker
33013186A
IN
222Q00000X
Developmental Therapist
—
IL
Other
Enumeration date
07/08/2020
Last updated
08/14/2025
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