Individual
DR. KATHLEEN A LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 S MAIN ST, CENTERVILLE, IA 52544-2421
(641) 437-4344
(641) 856-5410
Mailing address
707 S MAIN ST, CENTERVILLE, IA 52544-2421
(641) 437-4344
(641) 856-5410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30574
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110031
—
IA
Enumeration date
10/11/2006
Last updated
07/08/2007
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