Provider Demographics
NPI:1437681699
Name:LANE, TAWNY
Entity Type:Individual
Prefix:
First Name:TAWNY
Middle Name:
Last Name:LANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 E 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3273
Mailing Address - Country:US
Mailing Address - Phone:541-689-6983
Mailing Address - Fax:541-689-2063
Practice Address - Street 1:175 W B ST STE J
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-4594
Practice Address - Country:US
Practice Address - Phone:541-762-1971
Practice Address - Fax:541-762-1974
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor