Individual
JOHN F LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8100
(573) 348-8350
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
113738
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477625838
—
MO
Enumeration date
11/14/2006
Last updated
07/09/2010
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