Individual
REBECCA LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
63 STERLING RANCH RD S, HAUGHTON, LA 71037-8546
(318) 572-9164
Mailing address
63 STERLING RANCH RD S, HAUGHTON, LA 71037-8546
(318) 572-9164
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10165
LA
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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