| NPI | 1689627408 |
|---|---|
| Other Name | TODD R LANGE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA A06008) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-008714) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-09-21 |