Johnny Ray Lange LVN

NPI 1356550487 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1356550487
Gender Male
Enumeration Date 05/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5507 ROYAL VISTA DR
SAN ANTONIO TX, 78247-4669, US
Phone (210) 650-4794
Fax
Business Location
5507 ROYAL VISTA DR
SAN ANTONIO TX, 78247-4669, US
Phone (210) 650-4794
Fax
Toxanomy
Taxonomy Code 164X00000X
License State Texas
License Number 157145
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According to our database, Mr. Johnny Ray Lange LVN NPI is 1356550487, taxonomy code is 164X00000X and license number is 157145, license state is located at Texas. Johnny Ray Lange LVN physically located at 5507 Royal Vista Dr, San Antonio TX, 78247-4669. NPI Number Johnny Ray Lange LVN has the Individual type.

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1356550487 NPI number is provided on an as is basis without warranty of any kind. 1356550487 is maintained by the National Plan & Provider Enumeration System. The contents of Johnny Ray Lange LVN are for informational purposes only.