Individual
MS. BARBARA ANNE LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
15101 E JONES BEACH DR, KENT, NY 14477-9780
(585) 682-6070
Mailing address
15101 E JONES BEACH DR, KENT, NY 14477-9780
(585) 682-6070
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
249541-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02022273
—
NY
01
—
249541-1
NURSING LICENSE NUMBER
NY
Enumeration date
01/25/2007
Last updated
07/08/2007
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