Madilyn Ann Lane
Madilyn Ann Lane is a Developmental Therapist in Bloomington, Illinois. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
3113 Squall Way Apt 212Bloomington, IL 61704-8495
Phone: (217) 972-3571
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1487159364 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 24, 2018 |
| Last updated in NPPES | March 24, 2018 |
| Mailing address | 3113 Squall Way Apt 212, Bloomington, IL 61704-8495 |
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