Cory Andrew Lane, M.S. CCC-SLP
NPI #1073399200 in Disputanta, Virginia
Provider Information
- NPI Number
- 1073399200
- Entity Type
- Individual
- Name
- Cory Andrew Lane, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Sep 5, 2023
- Last Updated
- Sep 5, 2023
Practice Location
- Address
- 11455 PRINCE GEORGE DR
- City
- Disputanta
- State
- Virginia
- ZIP Code
- 23842-6032
- Phone
- (111) 070-7084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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