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Individual

DR. JOSHUA DAVID LANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9985 RAVENNA RD, CHARDON, OH 44024-9014
(716) 472-7031
Mailing address
9985 RAVENNA RD, CHARDON, OH 44024-9014
(716) 472-7031

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T6904
OH

Other

Enumeration date
07/11/2014
Last updated
07/21/2021
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