Individual
MR. GAVIN CHARLES LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
6701 HARFORD RD, PARKVILLE, MD 21234-7721
(410) 254-2055
Mailing address
6701 HARFORD RD, PARKVILLE, MD 21234-7787
(410) 254-2055
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
T27627
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD10272062356
LICENSE
MD
Enumeration date
01/30/2023
Last updated
02/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us