Organization
ADVANTAGE HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LYNNE LANGE CNP (APRN/OWNER)
(405) 689-0433
Entity
Organization
Contact information
Practice address
1514 SW 119TH ST, OKLAHOMA CITY, OK 73170-4930
(405) 689-0433
Mailing address
904 GRANDVIEW RD, TUTTLE, OK 73089-8497
(405) 689-0433
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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