Cory Andrew Lane, MS CCC-SLP is a
Speech-language Pathologist based in Disputanta, Virginia. Cory Andrew Lane is licensed to practice in Virginia (license number 2202010539) and his current practice location is
11455 Prince George Dr, Disputanta, Virginia. He can be reached at his office (for appointments etc.) via phone at
(111) 070-7084.
NPI number for Cory Andrew Lane is 1073399200 and his current mailing address is 2512 Mistwood Forest Dr, Chester, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073399200.
Healthcare Provider's Profile
| Full Name | Cory Andrew Lane |
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| Gender | Male |
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| Speciality | Speech-language Pathologist |
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| Location | 11455 Prince George Dr, Disputanta, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073399200
- Provider Enumeration Date: 09/05/2023
- Last Update Date: 09/05/2023
Medical Identifiers
Medical identifiers for Cory Andrew Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073399200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 2202010539 (Virginia) | 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. Cory Andrew 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 |
|---|
Cory Andrew Lane, MS CCC-SLP
2512 Mistwood Forest Dr,
Chester, VA 23831-7029
Ph: (540) 266-0453 | Cory Andrew Lane, MS CCC-SLP
11455 Prince George Dr,
Disputanta, VA 23842-6032
Ph: (111) 070-7084 |
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