DR. Daniel Hart Lange SR., M.D.

NPI #1871566752 in Ft Carson, Colorado

Provider Information

NPI Number: 1871566752
Entity Type: Individual
Name: DR. Daniel Hart Lange SR., M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Feb 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1650 COCHRANE CIR
City: Ft Carson
State: Colorado
ZIP Code: 80913-4603
Phone: (719) 524-4068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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