Individual
JOHN LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3722
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0035574
OH
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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