Individual
DR. JILL C BYRNES-LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5225 N PARK PL NE, CEDAR RAPIDS, IA 52402-6210
(319) 393-4807
(319) 393-7936
Mailing address
5225 N PARK PL NE, CEDAR RAPIDS, IA 52402-6210
(319) 393-4807
(319) 393-7936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06035
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223461
—
IA
01
—
42961
WELLMARK BLUE CROSS
IA
Enumeration date
01/11/2006
Last updated
06/09/2008
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