Individual
RACHEL LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1125 MADISON STREET, C/O GME OFFICE, JEFFERSON CITY, MO 65101
(715) 393-5964
Mailing address
1125 MADISON STREET, C/O GME OFFICE, JEFFERSON CITY, MO 65101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021021902
MO
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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