MEDICARE: DR. NEALE R LANGE MD

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	207RS0012X	Sleep Medicine (Internal Medicine) Physician	39556	CO
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	DR.0039556	CO
3	207R00000X	Internal Medicine Physician	39556	CO
4	207RP1001X	Pulmonary Disease Physician	39556	CO
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	39556	CO

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558337642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEALE R LANGE MD

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 COOK ST STE 202
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-5328
Country	:	US
Telephone Number	:	720-848-0000
Fax Number	:

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	10/02/2020

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Directions to “ DR. NEALE R LANGE MD” Practice Location

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