Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BILLY BURKE STANGE, MLT
Active Sole ProprietorMR. BILLY BURKE STANGE, MLT is a Clinical Medical Laboratory healthcare provider located in LANDER, Wyoming. NPI 1902137862 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · LANDER, WY
Registration Details
- NPI Number
- 1902137862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2010 (16.61279965782 yrs)
- Last Updated
- Jan 15, 2010
- License
-
93339 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 DILLON DR APT 104LANDER, WY, 825202938Browse WY providers · Browse ZIP 82520
- Phone
- 5759375752
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.