Individual
LORI BIERI LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
230 TRUMAN ST NE, ALBUQUERQUE, NM 87108-1333
(505) 268-9506
Mailing address
4700 GUADALUPE TRL NW, ALBUQUERQUE, NM 87107-3300
(505) 345-4237
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
437
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G5602
—
NM
Enumeration date
12/05/2006
Last updated
07/09/2007
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