Individual
ERIN O. LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60467212
WA
208C00000X
Colon & Rectal Surgery Physician
Primary
51313
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326084526
—
WA
Enumeration date
06/22/2006
Last updated
12/04/2020
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