Individual
CAITLIN ELIZABETH LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
567 MEDLIN LN, KING WILLIAM, VA 23086-3326
(757) 660-0897
Mailing address
567 MEDLIN LN, KING WILLIAM, VA 23086-3326
(757) 660-0897
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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