SAMANTHA RAE LANGE

BOISE, ID
NPI1346792033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1432)
Enumeration Date2016-10-27
Last Update Date2019-06-10
Business Address
SAMANTHA RAE LANGE PA-C
1072 N LIBERTY ST STE 203
BOISE, ID 83704
Phone number: 208-302-5800
Mailing Address
SAMANTHA RAE LANGE PA-C
2115 ENELL ST
IDAHO FALLS, ID 83402-2911
Phone number: 208-302-5800
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