Individual
LISA SUE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2211
(605) 355-2565
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2211
(605) 355-2565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R-5083
SD
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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