Individual
MRS. LANA DALTON LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
150 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4910
(573) 331-5153
(573) 331-5028
Mailing address
1384 COUNTY ROAD 262, ADVANCE, MO 63730-9031
(573) 331-5153
(573) 331-5028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103565
MO
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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