| NPI | 1851688360 |
|---|---|
| Other Name | MARA H LANE MS CCC SLP |
| Entity Type | Organization |
| Authorized Contact | MARA H LANE Director Speech Language Pathologis 847-945-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-05 |