Larry A. Lange
Case Manager/Care Coordinator in Eureka, CA. Individual provider (NPI-1).
NPI number1295065191
StatusActive
Last updated in NPPESJan 11, 2011
Details
- NPI
- 1295065191
- Entity type
- Individual (NPI-1)
- Name
- Larry A. Lange
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2009
- Last updated
- Jan 11, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2413 2nd StEureka, CA 95501-0811
Phone 707-269-9590
Mailing address
560 Hidden Valley RdBayside, CA 95524-9049
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 491 Case Manager/Care Coordinator providers in Eureka · All 3,243 providers in Eureka
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