Individual
MATTHEW A LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 DES PERES RD STE 120, SAINT LOUIS, MO 63131-2062
(314) 887-7605
(314) 887-7609
Mailing address
1000 DES PERES RD STE 120, SAINT LOUIS, MO 63131-2062
(314) 887-7605
(314) 887-7609
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2018016254
MO
Other
Enumeration date
06/18/2012
Last updated
03/16/2026
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