Individual
STEPHANIE LILES LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 PILOT MEDICAL DR, SUITE 300, BIRMINGHAM, AL 35235-3411
(205) 856-2284
(205) 815-4864
Mailing address
100 PILOT MEDICAL DR, SUITE 300, BIRMINGHAM, AL 35235-3411
(205) 856-2284
(205) 815-4864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-104183
AL
Other
Enumeration date
03/14/2013
Last updated
08/20/2019
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