Individual
DIANNA L LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2100 POWELL STREET, SUITE 900, EMERYVILLE, CA 94608
(510) 350-2600
Mailing address
2100 POWELL ST, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23653
CA
Other
Enumeration date
09/25/2013
Last updated
04/02/2020
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