Todd R Lange Dc, Pllc | |
3612 West Ave, Burlington, IA 52601-9456 | |
(319) 759-4545 | |
Not Available |
Full Name | Todd R Lange Dc, Pllc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 3612 West Ave, Burlington, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518574771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Todd Robert Lange |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1689627408 PECOS PAC ID: 7315902376 Enrollment ID: I20170428000598 |
Mailing Address | Practice Location Address |
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Todd R Lange Dc, Pllc 3612 West Ave, Burlington, IA 52601-9456 Ph: (319) 759-4545 | Todd R Lange Dc, Pllc 3612 West Ave, Burlington, IA 52601-9456 Ph: (319) 759-4545 |
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