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NPI Code Detail

MEDICARE: MS. BETH A LANGE RN., BSN

MEDICARE: MS. BETH A LANGE RN., BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246XC2901XCardiovascular Invasive Specialist/Technologist116781CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1016923OTHERKAISER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1649300583
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BETH A LANGE RN., BSN
Provider Business Mailing Address
First Line : 13708 TEAL CREEK CT
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-3969
Country : US
Telephone Number : 303-926-0749
Fax Number :
Provider Business Practice Location Address
First Line : 280 EXEMPLA CIR
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-3370
Country : US
Telephone Number : 720-536-6531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/10/2007

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