Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lange Clancy, DO

Individual provider Family Medicine Physician · NPI 1184126310

Lange Clancy, DO is a Family Practice in Boise, Idaho. Qualified in 2020, 6 years ago. Licensed in Idaho and Wisconsin.

Years since qualifying
6
Licensed in
ID, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 514-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 81177-21 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence MRO-1926 (ID)

Record details

NPI number1184126310
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 4, 2018
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address777 N Raymond St, Boise, ID 83704-9251

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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