Individual
MR. SCOTT ALAN LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 310, ALLENTOWN, PA 18103-6381
(610) 402-6890
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7081
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
6224324-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
MA066360
PA
363AS0400X
Surgical Physician Assistant
PA00880
OR
Other
Enumeration date
12/09/2005
Last updated
04/27/2026
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