Cullen Lane, DPT | |
36622 Five Mile Rd Ste 102, Livonia, MI 48154-1900 | |
(734) 542-0200 | |
Not Available |
Full Name | Cullen Lane |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 36622 Five Mile Rd Ste 102, Livonia, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255093712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501020201 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mendelson Orthopedics Pc | 8426008368 | 57 |
Provider Name | Mendelson Orthopedics Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720395205 PECOS PAC ID: 8426008368 Enrollment ID: O20050127000783 |
Mailing Address | Practice Location Address |
---|---|
Cullen Lane, DPT 542 Snyder Rd, Highland, MI 48357-2859 Ph: (231) 570-0142 | Cullen Lane, DPT 36622 Five Mile Rd Ste 102, Livonia, MI 48154-1900 Ph: (734) 542-0200 |
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