| Doctor Name: | LINDA V. LANE |
| NPI Number: | 1376743211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 60670 |
| Business Practice Address: | 19965 Fm 3175 North Lytle, TX - 78052 |
| Business Phone Number: | 2103570369 |
| Business Fax Number: | 2103570458 |
| Mailing Address: | Po Box 725, LYTLE |
| State: | TX |
| Postal Code: | 780520725 |
| Phone Number: | 2103570369 |
| Fax Number: | 2103570458 |
| NPI Enumeration Date: | 07/19/2007 |
| NPI Last Update Date: | 07/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 60670 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |