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NPI Code Detail

MEDICARE: DR. FRANK JOHN LANE PH.D.

MEDICARE:  DR. FRANK JOHN LANE  PH.D.
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
1101YP2500XProfessional CounselorIL

General Provider Information

NPI Number : 1023204351
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK JOHN LANE PH.D.
Provider Business Mailing Address
First Line : 1449 W RASCHER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-1205
Country : US
Telephone Number : 773-250-4983
Fax Number : 312-567-3493
Provider Business Practice Location Address
First Line : 5235 N CLARK ST
Second Line : SUITE 2 NORTH
City : CHICAGO
State : IL
Zip : 60640-2122
Country : US
Telephone Number : 773-250-4983
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2007
Last Update Date : 09/20/2007

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Directions to “ DR. FRANK JOHN LANE PH.D.” Practice Location

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