Individual
LISA LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 LOCUST ST, SCRANTON, IA 51462-8447
(515) 351-9892
Mailing address
706 LOCUST ST, SCRANTON, IA 51462-8447
(515) 351-9892
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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