Individual
MR. LANCE CHARLES DELANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2310 N 400 E, STE A, LOGAN, UT 84341-1788
(435) 787-2000
(435) 787-1913
Mailing address
2310 N 400 E, STE A, LOGAN, UT 84341-1788
(435) 787-2000
(435) 787-1913
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3265324405
UT
Other
Enumeration date
12/02/2005
Last updated
06/08/2016
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