Individual
ELISE LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
417 N MAIN ST STE 102, SALADO, TX 76571-6134
(254) 444-2236
Mailing address
4026 SAINT PETER ST UNIT A, SALADO, TX 76571-2149
(254) 444-2236
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01323
TX
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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