Jennifer R Lane, is a
Counselor - Professional based in Dupo, Illinois. Jennifer R Lane is licensed to practice in Missouri (license number 2022050174) and her current practice location is
26 Arnold Dr, Dupo, Illinois. She can be reached at her office (for appointments etc.) via phone at
(314) 583-5108.
NPI number for Jennifer R Lane is 1366184079 and her current mailing address is 26 Arnold Dr, Dupo, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366184079.
Healthcare Provider's Profile
Full Name | Jennifer R Lane |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 26 Arnold Dr, Dupo, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366184079
- Provider Enumeration Date: 04/12/2022
- Last Update Date: 05/05/2025
Medical Identifiers
Medical identifiers for Jennifer R Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366184079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YS0200X | Counselor - School | (Missouri) | Secondary |
101YP2500X | Counselor - Professional | 2022050174 (Missouri) | 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. Jennifer R 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 |
Jennifer R Lane, 26 Arnold Dr, Dupo, IL 62239-1722 Ph: (314) 583-5108 | Jennifer R Lane, 26 Arnold Dr, Dupo, IL 62239-1722 Ph: (314) 583-5108 |
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