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Individual
MS. AMBER L LANGE
Active
Individual
MS. AMBER L LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
114078
IA
363A00000X
Physician Assistant
13741
MN
363AM0700X
Medical Physician Assistant
114078
IA
363AS0400X
Surgical Physician Assistant
114078
IA
Other
Enumeration date
03/17/2021
Last updated
12/19/2023
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