Mrs Penelope Diane Lane, is a
Counselor - Professional based in Waco, Texas. Mrs Penelope Diane Lane is licensed to practice in Texas (license number 65378) and her current practice location is
7524 Bosque, Waco, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 624-2269.
NPI number for Mrs Penelope Diane Lane is 1881038776 and her current mailing address is 6058 Gun Club Road, Temple, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881038776.
Healthcare Provider's Profile
Full Name | Mrs Penelope Diane Lane |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 7524 Bosque, Waco, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881038776
- Provider Enumeration Date: 04/22/2013
- Last Update Date: 04/22/2013
Medical Identifiers
Medical identifiers for Mrs Penelope Diane Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881038776 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 33245 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 65378 (Texas) | 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. Mrs Penelope Diane 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 |
Mrs Penelope Diane Lane, 6058 Gun Club Road, Temple, TX 76501 Ph: () - | Mrs Penelope Diane Lane, 7524 Bosque, Waco, TX 76710 Ph: (254) 624-2269 |
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