Individual
ALEX LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 24, AVON, MN 56310-0024
(320) 293-5046
Mailing address
PO BOX 24, AVON, MN 56310-0024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2025
Last updated
06/20/2025
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