Lynne Kaulback Orange, MED, CCC-SLP is a 
Speech-language Pathologist based in Athol, Idaho. Lynne Kaulback Orange is licensed to practice in Idaho (license number 4048) and her current practice location is 
11111 E Arroyo Ln, Athol, Idaho. She can be reached at her office (for appointments etc.) via phone at 
(650) 556-4225.
NPI number for Lynne Kaulback Orange is 1497918577 and her current mailing address is Po Box 982, Athol, Idaho. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497918577.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Lynne Kaulback Orange | 
|---|
| Gender | Female | 
|---|
| Speciality | Speech-language Pathologist | 
|---|
| Location | 11111 E Arroyo Ln, Athol, Idaho | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1497918577
- Provider Enumeration Date: 07/08/2008
- Last Update Date: 04/26/2023
 
		 
		 
Medical Identifiers
		Medical identifiers for Lynne Kaulback Orange such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1497918577 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 235Z00000X | Speech-language Pathologist | 16279 (California) | Secondary | 
| 235Z00000X | Speech-language Pathologist | 2202004958 (Virginia) | Secondary | 
| 235Z00000X | Speech-language Pathologist | 4048 (Idaho) | 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. Lynne Kaulback Orange 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 | 
|---|
		| Lynne Kaulback Orange, MED, CCC-SLP Po Box 982,
 Athol, ID 83801-0982
 Ph: (650) 556-4225
 | Lynne Kaulback Orange, MED, CCC-SLP 11111 E Arroyo Ln,
 Athol, ID 83801-7808
 Ph: (650) 556-4225
 | 
		
		 
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