Individual
MARGIE LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP, BC
Contact information
Practice address
1431 HIGHWAY Y, BELLE, MO 65013-3108
(573) 859-3202
Mailing address
1431 HIGHWAY Y, BELLE, MO 65013-3108
(573) 859-3202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
074592
MO
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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