MEDICARE: LYNDSAY CRANE

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1215883863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNDSAY CRANE

Provider Business Mailing Address
First Line	:	4166 FORBUSH AVE
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-1035
Country	:	US
Telephone Number	:	248-379-0021
Fax Number	:

Provider Business Practice Location Address
First Line	:	4166 FORBUSH AVE
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-1035
Country	:	US
Telephone Number	:	248-379-0021
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ LYNDSAY CRANE ” Practice Location

Language	Start Address	Practice Location

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