National Provider Identifier
Clytha Lawanza Lane
Clytha Lawanza Lane is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in West Henrietta, NY and a listed phone number of (585) 334-6166.
Profile Overview
- NPI
- 1396984779
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- February 09, 2009
- Last Updated
- February 09, 2009
Practice Location
- 147 Bennington Hills Ct
- West Henrietta, NY 14586-9768
Phone: (585) 334-6166
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1396984779
- Entity Type
- Individual
- Last Name
- Lane
- First Name
- Clytha
- Middle Name
- Lawanza
- Name Prefix
- Mrs.
- Mailing Street Address
- 147 Bennington Hills Ct
- Mailing City
- West Henrietta
- Mailing State
- NY
- Mailing ZIP Code
- 14586-9768
- Mailing Country
- US
- Mailing Phone
- (585) 334-6166
- Mailing Fax
- (585) 334-6166
- Practice Street Address
- 147 Bennington Hills Ct
- Practice City
- West Henrietta
- Practice State
- NY
- Practice ZIP Code
- 14586-9768
- Practice Country
- US
- Practice Phone
- (585) 334-6166
- Practice Fax
- (585) 334-6166
- Enumeration Date
- February 09, 2009
- Last Updated
- February 09, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)