Individual
MR. CHRISTOPHER MICHEAL LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
101 WILBURN WAY, STARKVILLE, MS 39759-3693
(662) 323-9908
Mailing address
152 WINTERBERRY LN, STARKVILLE, MS 39759-4479
(901) 258-9492
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902341
MS
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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