Samantha Lange, LMT
NPI #1942744875 in Eagle River, Alaska
Provider Information
- NPI Number
- 1942744875
- Entity Type
- Individual
- Name
- Samantha Lange, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- LMT
- Enumeration Date
- Dec 12, 2016
- Last Updated
- Dec 12, 2016
Practice Location
- Address
- 11421 OLD GLENN HWY STE 101
- City
- Eagle River
- State
- Alaska
- ZIP Code
- 99577-7783
- Phone
- (907) 622-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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