Individual
DR. MATTHEW JOHN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IAM, QDSP, QPASP
Contact information
Practice address
8 WEATHERBELL DR, NORWALK, CT 06851-1411
(203) 251-0200
Mailing address
8 WEATHERBELL DR, NORWALK, CT 06851-1411
(203) 251-0200
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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