Individual
W. ROBERT LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
835 GANGPLANK RD UNIT 110, MONETA, VA 24121-2499
(410) 371-9071
Mailing address
835 GANGPLANK RD UNIT 110, MONETA, VA 24121-2499
(410) 371-9071
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101057207
VA
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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