Individual
DR. PAUL C LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 MED TECH PKWY STE 401, JOHNSON CITY, TN 37604-2372
(423) 631-0646
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53106
TN
208M00000X
Hospitalist Physician
Primary
53106
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010800069
—
PA
Enumeration date
02/14/2006
Last updated
08/12/2024
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