Individual
ANDREW PETERSON LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 LAKE DR STE 201, RALEIGH, NC 27607-6689
(919) 783-4888
Mailing address
2601 LAKE DR STE 201, RALEIGH, NC 27607-6689
(919) 783-4888
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2022-00761
NC
208M00000X
Hospitalist Physician
60278
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2015
Last updated
05/24/2022
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