Individual
JULIE ANNE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4660 PALM AVE, BLDG 4, 2ND FLOOR, SAN DIEGO, CA 92154-8404
(619) 952-7804
Mailing address
4660 PALM AVE, BLDG 4, 2ND FLOOR, SAN DIEGO, CA 92154-8404
(877) 496-0450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A123253
CA
Other
Enumeration date
06/14/2011
Last updated
12/06/2021
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