Individual
MICHAEL P LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3101 SW COLLEGE RD, OCALA, FL 34474-8459
(352) 237-3768
(352) 237-4595
Mailing address
3101 SW COLLEGE RD, OCALA, FL 34474-8459
(352) 237-3768
(352) 237-4595
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP2631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078976301
—
FL
Enumeration date
08/14/2006
Last updated
05/27/2008
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