Individual
BRIAN C LANGE
Active
Individual
BRIAN C LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00023927
WA
2086S0129X
Vascular Surgery Physician
Primary
00023027
WA
Other
Enumeration date
03/31/2006
Last updated
05/31/2019
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