Individual provider · Type 1 NPI

Matthew John Lane, IAM, QDSP, QPASP

Other Specialist/Technologist · Norwalk, CT

NPI number 1265506372 Active

Practice location

8 Weatherbell Dr
Norwalk, CT 06851-1411

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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About NPI 1265506372

Matthew John Lane, IAM, QDSP, QPASP's National Provider Identifier is 1265506372, issued on Nov 20, 2006. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Norwalk, CT. The record was last updated on Jul 8, 2007.