Individual
MARLENE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A/ FAAA
Contact information
Practice address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5275
(871) 431-5583
Mailing address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5275
(871) 431-5583
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
679
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022337
NEIGHBORHOOD HEALTH PLAN
MA
05
—
5100992
—
MA
01
—
AD0162
BLUE CROSS
MA
01
—
B501027
CIGNA
MA
01
—
P00202525
MEDICARE RAILROAD
MA
01
—
PJ221
HARVARD PILGRIM
MA
Enumeration date
01/24/2006
Last updated
10/28/2020
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