Individual
LISA MONICA LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4100 JOHN R, KARMANOS CANCER CTR MIDLEVELS, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8381
Mailing address
1560 E MAPLE RD STE 400, TROY, MI 48083-1135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704173236
MI
363LA2200X
Adult Health Nurse Practitioner
4704173236
MI
Other
Enumeration date
05/31/2006
Last updated
12/03/2018
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