David J Lane, AUD, CCC-A
David J Lane, AUD, CCC-A is a Qualified Audiologist in Mount Vernon, Illinois. Qualified in 2000, 26 years ago. Practices with Deaconess Illinois Specialty Clinic, Inc, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 26
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
Practice location Address checks out
4117 S Water Tower Pl Ste CMount Vernon, IL 62864-6293
Phone: (618) 242-0672
Fax: (618) 242-0862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Audiologist (primary) | Taxonomy 231H00000X · Licence 147-000854 (IL) |
|---|
Record details
| NPI number | 1164472155 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AUD , CCC-A |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2006 |
| Last updated in NPPES | August 30, 2010 |
Medicare enrollment
| Medicare specialty | QUALIFIED AUDIOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Deaconess Illinois Specialty Clinic, Inc. — 139 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mount Vernon
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David J. Lane, Ltd
4117 S Water Tower Pl Ste C, Mount Vernon, IL 62864-6293 · (618) 242-0672