SearchIllinois101YP2500X

Jennifer Lane

NPI 1366184079 · on the registry since 2022

Practice

Address
26 Arnold Dr
Dupo, IL 62239
Phone
(314) 583-5108

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YS0200X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois