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Individual
MS. SOPHIA KATHERINE LANGE
Active
Individual
MS. SOPHIA KATHERINE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
PA15382
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
PA15832
TX
363A00000X
Physician Assistant
Primary
PA15382
TX
Other
Enumeration date
07/15/2021
Last updated
01/13/2025
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