Individual
JAN E LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1008 S. 38TH AVENUE, YAKIMA, WA 98902-0000
(509) 965-1035
(509) 965-1580
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 249-5042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00017092
WA
Other
Enumeration date
07/22/2006
Last updated
01/06/2010
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