Individual
PATRICIA LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 E 82ND AVE, SUITE 101, ANCHORAGE, AK 99518-3153
(907) 222-2652
(907) 677-8777
Mailing address
615 E 82ND AVE, SUITE 101, ANCHORAGE, AK 99518-3153
(907) 222-2652
(907) 677-8777
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CM5453
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM54531
—
AK
Enumeration date
07/26/2007
Last updated
07/26/2007
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