| Dr. Amy Lange, LLC | |
|
417 E 35th St Kearney NE 68847-3033 | |
| (312) 508-9610 | |
| Not Available |
| Full Name | Dr. Amy Lange, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 417 E 35th St, Kearney, Nebraska |
| Authorized Official Name and Position | Amy Lange (OWNER) |
| Authorized Official Contact | 3125089610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Amy Lange, LLC 417 E 35th St Kearney NE 68847-3033 Ph: (312) 508-9610 | Dr. Amy Lange, LLC 417 E 35th St Kearney NE 68847-3033 Ph: (312) 508-9610 |
| NPI Number | 1083365365 |
|---|---|
| Provider Enumeration Date | 01/18/2022 |
| Last Update Date | 01/18/2022 |
| Certification Date | 01/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083365365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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