Individual
ALYSE LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, IBCLC
Contact information
Practice address
4341 S WESTNEDGE AVE STE 1203, KALAMAZOO, MI 49008-3284
(269) 823-2675
Mailing address
125 GILKISON AVE, KALAMAZOO, MI 49006-8320
(269) 615-0013
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801114754
MI
174N00000X
Lactation Consultant (Non-RN)
L-99168
MI
Other
Enumeration date
07/27/2016
Last updated
09/12/2024
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