Dr Melissa Dettore Lane, is a
Psychologist - Clinical based in Lawrence, New Jersey. Dr Melissa Dettore Lane is licensed to practice in New Jersey (license number 35SI00571900) and her current practice location is
66 Birchwood Knls, Lawrence, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(215) 432-3432.
NPI number for Dr Melissa Dettore Lane is 1902207285 and her current mailing address is 66 Birchwood Knls, Lawrence, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902207285.
Healthcare Provider's Profile
Full Name | Dr Melissa Dettore Lane |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 66 Birchwood Knls, Lawrence, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902207285
- Provider Enumeration Date: 09/05/2014
- Last Update Date: 09/18/2023
Medical Identifiers
Medical identifiers for Dr Melissa Dettore Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902207285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 35SI00571900 (New Jersey) | 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. Dr Melissa Dettore 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 |
Dr Melissa Dettore Lane, 66 Birchwood Knls, Lawrence, NJ 08648-3646 Ph: (215) 432-3432 | Dr Melissa Dettore Lane, 66 Birchwood Knls, Lawrence, NJ 08648-3646 Ph: (215) 432-3432 |
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