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Individual
DR. CASSANDRA SUZANNE LANGE
Active
Individual
DR. CASSANDRA SUZANNE LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34157
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234757
—
IA
01
—
38135
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
07/07/2005
Last updated
06/15/2021
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