Individual
DR. PATRICIA A LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 E MARSHALL STREET, RICHMOND, VA 23298-0510
(804) 828-3500
(804) 828-8606
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
0101250855
VA
2086S0120X
Pediatric Surgery Physician
9901564
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901539
—
NC
Enumeration date
10/03/2006
Last updated
12/15/2011
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