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Individual

MS. BETH A LANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN., BSN

Contact information

Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-6531
Mailing address
13708 TEAL CREEK CT, BROOMFIELD, CO 80020-3969
(303) 926-0749

Taxonomy

Speciality
Code
Description
License number
State
246XC2901X
Cardiovascular Invasive Specialist/Technologist
Primary
116781
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016923
KAISER-COMMERCIAL NUMBER
Enumeration date
03/07/2007
Last updated
07/10/2007
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