Individual
DR. EVAN PAUL LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42ND AND EMILE, OMAHA, NE 68198-1554
(402) 559-4000
Mailing address
18710 L ST, OMAHA, NE 68135-3537
(402) 657-2421
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36028
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
01/16/2024
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