Individual
DR. JOHN LANGE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 FARMINGTON AVE, 121, WEST HARTFORD, CT 06119-1505
(860) 232-8800
Mailing address
836 FARMINGTON AVE, 121, WEST HARTFORD, CT 06119-1505
(860) 232-8800
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LO764
CT
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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