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NPI Code Detail

MEDICARE: DR. LUCINDA LANG DEGRANGE PH.D.

MEDICARE: DR. LUCINDA LANG DEGRANGE PH.D.
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
1103T00000XPsychologist1141LA

General Provider Information

NPI Number : 1336442516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUCINDA LANG DEGRANGE PH.D.
Provider Business Mailing Address
First Line : 118 RIDGELAKE DR
Second Line :
City : METAIRIE
State : LA
Zip : 70001-5312
Country : US
Telephone Number : 504-834-2775
Fax Number : 504-834-2378
Provider Business Practice Location Address
First Line : 118 RIDGELAKE DR
Second Line :
City : METAIRIE
State : LA
Zip : 70001-5312
Country : US
Telephone Number : 504-834-2775
Fax Number : 504-834-2378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2010
Last Update Date : 12/10/2010

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Directions to “ DR. LUCINDA LANG DEGRANGE PH.D.” Practice Location

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