Joseph Gilmore Lange, LMT

NPI #1598070781 in Tiffin, Ohio

Provider Information

NPI Number: 1598070781
Entity Type: Individual
Name: Joseph Gilmore Lange, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Aug 11, 2010
Last Updated: Aug 11, 2010

Practice Location

Address: 716 W MARKET ST
Address 2: STE A
City: Tiffin
State: Ohio
ZIP Code: 44883
Phone: (419) 443-8877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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