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Individual

DR. EMILY MARIE LANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
201 RIDGE ST, STE 312, COUNCIL BLUFFS, IA 51503-4643
(712) 396-7880
(712) 396-7885
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
41994
IA
207V00000X
Obstetrics & Gynecology Physician
5861
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026211300
NE
05
1598928376
IA
05
47068731777
NE
Enumeration date
07/02/2008
Last updated
07/08/2015
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