Individual
REBECCA LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-1168
(508) 856-4224
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2348232
MA
363LA2100X
Acute Care Nurse Practitioner
8401
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2348232
MA
Other
Enumeration date
04/03/2020
Last updated
08/01/2023
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