Individual
AMY S LANGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1200 LAGOON AVE, MINNEAPOLIS, MN 55408-2077
(612) 823-6300
Mailing address
4043 COLFAX AVE S, MINNEAPOLIS, MN 55409-1425
(612) 822-8136
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R1113365
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00775
MEDICA
—
01
—
1019218
PREFERRED ONE
—
01
—
109104
UCARE
—
01
—
32427
SIOUX VALLEY HEALTH PLAN
—
01
—
37B63LA
BCBS MN
MN
01
—
930063
AMERICA'S PPO (ARAZ)
—
01
—
HP22762
HEALTH PARTNERS
—
Enumeration date
01/25/2006
Last updated
07/08/2007
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