THEODORE E LANGE

BOISE, ID
NPI1831119270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: ID  M-9049)
Enumeration Date2006-07-20
Last Update Date2022-04-19
Business Address
THEODORE E LANGE MD
500 W FORT ST. # 111
BOISE, ID 83702
Phone number: 208-422-1325
Mailing Address
THEODORE E LANGE MD
500 W FORT ST. # 111
BOISE, ID 83702
Phone number: 208-422-1325
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