Individual
MR. ERIC A. LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98413
(253) 968-1110
Mailing address
1546 RESERVATION RD SE, OLYMPIA, WA 98513-9415
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
AP3000985
WA
Other
Enumeration date
03/10/2006
Last updated
05/09/2025
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