Individual
LAURA M LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
11111 W OKLAHOMA AVE, MILWAUKEE, WI 53227-4033
(414) 546-8000
Mailing address
19675 W PHEASANT RUN DR, NEW BERLIN, WI 53146-3027
(262) 896-8876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5461-33
WI
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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