Active NPI
Lorlyne G Lange, D.O.-R.PH.
- Family Medicine Physician
- Hamburg, PA
National Provider Identifier
1437119732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- BL5564340
- Practice address
- 3560 Old Route 22
Hamburg, PA 19526-8373 - Phone
- (717) 376-6586
- Fax
- (610) 562-6333
- NPI assigned
- Mar 23, 2006
- Last updated
- Mar 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP035376L | PA | |
| Family Medicine Physician | 207Q00000X | BL5564340 | PA | Primary |
Addresses
Primary practice location
3560 Old Route 22
Hamburg, PA 19526-8373
Mailing address
422 S 15TH St
Lebanon, PA 17042-6515
Phone (717) 376-6586
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01061201 | Other | PA | CAPITAL BLUE CROSS |
| 0017174120002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP035376L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1437119732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 S 15TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170426515",
"telephone_number": "717-376-6586",
"fax_number": "610-562-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 OLD ROUTE 22",
"city": "HAMBURG",
"state": "PA",
"postal_code": "195268373",
"telephone_number": "717-376-6586",
"fax_number": "610-562-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "LORLYNE",
"middle_name": "G",
"credential": "D.O.-R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP035376L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "BL5564340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01061201",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017174120002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.