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Individual

MADISON LANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 584-1000
(513) 475-7480
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258553
TN
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0037173
OH

Other

Enumeration date
07/10/2024
Last updated
07/30/2024
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