DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MATTHEW A LANGE DO

MEDICARE: MATTHEW A LANGE DO
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
1208600000XSurgery Physician2018016254MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063775716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW A LANGE DO
Provider Business Mailing Address
First Line : 1000 DES PERES RD STE 120
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2062
Country : US
Telephone Number : 314-887-7605
Fax Number : 314-887-7609
Provider Business Practice Location Address
First Line : 1000 DES PERES RD STE 120
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2062
Country : US
Telephone Number : 314-887-7605
Fax Number : 314-887-7609
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2012
Last Update Date : 03/16/2026

Similar Medicare Providers

1700588571 — NEW YOU SURGICAL WEIGHT LOSS, LLC
Practice Location Address:
1000 DES PERES RD STE 120
SAINT LOUIS, MO
63131-2062
Practice Phone: 314-887-7605
Practice Fax: 314-887-7609
1205997640 — CHERYL L DAVIDSON O.D.
Practice Location Address:
1000 DES PERES RD STE 105
SAINT LOUIS, MO
63131-2062
Practice Phone: 314-628-9100
Practice Fax: 844-235-0998
1427393925 — DAVIDSON OPTOMETRY PC
Practice Location Address:
1000 DES PERES RD STE 105
SAINT LOUIS, MO
63131-2062
Practice Phone: 314-628-9100
Practice Fax: 844-235-0998
1720442387 — DUSTIN JAMBORETZ
Practice Location Address:
1000 DES PERES RD STE 210
SAINT LOUIS, MO
63131-2062
Practice Phone: 314-896-4263
Practice Fax:
1629521570 — LAUREN SCHWALB O.D
Practice Location Address:
1000 DES PERES RD STE 105
SAINT LOUIS, MO
63131-2062
Practice Phone: 314-628-9100
Practice Fax: 844-235-0998
1538202403 — LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.
Practice Location Address:
312 N 10TH ST STE A
SAINT LOUIS, MO
63101-2062
Practice Phone: 314-231-6151
Practice Fax:

Directions to “ MATTHEW A LANGE DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.