National Provider Identifier
Christopher Bradley Lange, CPO
Christopher Bradley Lange, CPO is listed in the NPPES registry with a primary specialty of Prosthetist in Ithaca, NY and a listed phone number of (607) 277-6620.
Profile Overview
- NPI
- 1952166118
- Provider Type
- Individual
- Primary Specialty
- Prosthetist
- Enumeration Date
- February 16, 2024
- Last Updated
- February 16, 2024
Practice Location
- 310 Taughannock Blvd Ste 1A
- Ithaca, NY 14850-3251
Phone: (607) 277-6620
Mailing Address
- 141 Cedar Ln
- Groton, NY 13073-1311
Specialties
- Prosthetist (224P00000X)
- Orthotist (222Z00000X)
Full Record
- NPI
- 1952166118
- Entity Type
- Individual
- Last Name
- Lange
- First Name
- Christopher
- Middle Name
- Bradley
- Name Prefix
- Mr.
- Credential
- CPO
- Mailing Street Address
- 141 Cedar Ln
- Mailing City
- Groton
- Mailing State
- NY
- Mailing ZIP Code
- 13073-1311
- Mailing Country
- US
- Mailing Phone
- (607) 330-2106
- Mailing Fax
- (607) 333-7925
- Practice Street Address
- 310 Taughannock Blvd Ste 1A
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3251
- Practice Country
- US
- Practice Phone
- (607) 277-6620
- Practice Fax
- (607) 277-2533
- Enumeration Date
- February 16, 2024
- Last Updated
- February 16, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Prosthetist (224P00000X), Orthotist (222Z00000X)