Individual
DR. PAULA LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3252 TANTARA BND, CARMEL, IN 46032-8733
(317) 733-8252
Mailing address
3252 TANTARA BND, CARMEL, IN 46032-8733
(317) 733-8252
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101008789
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494149
ANTHEM
IN
05
—
114703958
—
MI
05
—
200836700
—
IN
01
—
PL008789
BC/BS OF MICHIGAN
MI
Enumeration date
05/28/2006
Last updated
09/17/2009
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