Individual
CHRISTINE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 RUHLE RD S, BALLSTON LAKE, NE 12019
(518) 899-4133
(518) 899-5764
Mailing address
318 RUHLE RD S, BALLSTON LAKE, NE 12019
(518) 899-4133
(518) 899-5764
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F330876-1
NY
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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