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Individual

MRS. JENNIFER SUE LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-A

Contact information

Practice address
12065 OLD MERIDIAN STREET, SUITE 205, CARMEL, IN 46032
(317) 705-2700
(317) 705-2718
Mailing address
7855 S EMERSON AVE STE I, INDIANAPOLIS, IN 46237-8669
(317) 818-3490
(317) 884-8796

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002250A
IN

Other

Enumeration date
01/19/2006
Last updated
07/07/2022
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