Ms Judith B Lane, PT is a
Physical Therapist based in Coeur D'alene, Idaho. Ms Judith B Lane is licensed to practice in Idaho (license number PT-681) and her current practice location is
2448 Merritt Creek Loop, Coeur D'alene, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 664-2901.
NPI number for Ms Judith B Lane is 1891770202 and her current mailing address is 2448 Merritt Creek Loop, Coeur D'alene, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891770202.
Healthcare Provider's Profile
| Full Name | Ms Judith B Lane |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 2448 Merritt Creek Loop, Coeur D'alene, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891770202
- Provider Enumeration Date: 12/08/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Judith B Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891770202 | NPI | - | NPPES |
| T5006 | Other | ID | BLUE CROSS OF IDAHO |
| 000010143554 | Other | ID | REGENCE BLUE SHIELD |
| 28169 | Other | ID | GROUP HEALTH |
| 0265507 | Other | ID | STATE OF WA LABOR & INDUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT-681 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Judith B Lane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Judith B Lane, PT
2448 Merritt Creek Loop,
Coeur D'alene, ID 83814-4953
Ph: (208) 664-2901 | Ms Judith B Lane, PT
2448 Merritt Creek Loop,
Coeur D'alene, ID 83814-4953
Ph: (208) 664-2901 |
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