MEDICARE: MS. DEBORAH DELANGE M.S.

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
1	237600000X	Audiologist-Hearing Aid Fitter	13	NE

Other Identifiers

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

General Provider Information

NPI Number	:	1437316940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH DELANGE M.S.

Provider Business Mailing Address
First Line	:	630 N COTNER BLVD
Second Line	:	SUITE 202
City	:	LINCOLN
State	:	NE
Zip	:	68505-2339
Country	:	US
Telephone Number	:	402-464-8385
Fax Number	:	402-464-8408

Provider Business Practice Location Address
First Line	:	630 N COTNER BLVD
Second Line	:	SUITE 202
City	:	LINCOLN
State	:	NE
Zip	:	68505-2339
Country	:	US
Telephone Number	:	402-464-8385
Fax Number	:	402-464-8408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	05/21/2008

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Directions to “ MS. DEBORAH DELANGE M.S.” Practice Location

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