Individual
DR. JOHN E LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
321 N SEQUIM AVE # A, SEQUIM, WA 98382-3457
(360) 683-7269
(360) 683-7499
Mailing address
PO BOX 2020, SEQUIM, WA 98382-2020
(360) 683-7269
(360) 683-7499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1293TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066306
—
WA
Enumeration date
08/19/2005
Last updated
12/18/2012
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