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NPI Code Detail

MEDICARE: MRS. SARAH LANE MSCCC/SLP

MEDICARE: MRS. SARAH LANE MSCCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist6808NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720256720
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH LANE MSCCC/SLP
Provider Business Mailing Address
First Line : 502 BEAVER DAM DR
Second Line :
City : CLINTON
State : NC
Zip : 28328-2212
Country : US
Telephone Number : 910-990-5643
Fax Number :
Provider Business Practice Location Address
First Line : 600 SUNSET AVE
Second Line :
City : CLINTON
State : NC
Zip : 28328-3946
Country : US
Telephone Number : 910-299-0700
Fax Number : 910-299-0800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2008
Last Update Date : 05/27/2026

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Directions to “ MRS. SARAH LANE MSCCC/SLP” Practice Location

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