Individual
MRS. CLYTHA LAWANZA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 BENNINGTON HILLS CT, WEST HENRIETTA, NY 14586-9768
(585) 334-6166
(585) 334-6166
Mailing address
147 BENNINGTON HILLS CT, WEST HENRIETTA, NY 14586-9768
(585) 334-6166
(585) 334-6166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008314-1
NY
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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