Elise Lange, L.AC
Individual provider Active NPI Acupuncturist · Salado, TX
NPI 1558046656 · NPPES record last updated Jun 16, 2023
Key facts
- NPI
- 1558046656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC01323 (TX)
- Practice address
- 417 N Main St Ste 102
Salado, TX 76571-6134 - Phone
- (254) 444-2236
- NPI assigned
- Jun 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC01323 | TX | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01323 | TX | Yes |
Addresses
Primary practice location
417 N Main St Ste 102
Salado, TX 76571-6134
Mailing address
4026 Saint Peter St Unit a
Salado, TX 76571-2149
Phone (254) 444-2236
Other providers in Salado, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.