Individual
STEPHANIE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
116 MEDICAL CENTER DR, WEST POINT, MS 39773-0428
(662) 492-3183
Mailing address
152 WINTERBERRY LN, STARKVILLE, MS 39759-4479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
902409
MS
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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