Individual
W, ALEX LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4221 S WESTERN AVE, SUITE 5045, OKLAHOMA CITY, OK 73109-3447
(405) 644-5185
(405) 644-5184
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 644-5185
(405) 644-5184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1899
OK
Other
Enumeration date
01/11/2010
Last updated
02/05/2016
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