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Individual
LORLYNE G LANGE
Active
Individual
LORLYNE G LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.-R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP035376L
PA
207Q00000X
Family Medicine Physician
Primary
BL5564340
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017174120002
—
PA
01
—
01061201
CAPITAL BLUE CROSS
PA
Enumeration date
03/23/2006
Last updated
03/16/2016
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