Individual
JULIE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-1658
Mailing address
PO BOX 64563, BALTIMORE, MD 21264-4563
(443) 287-2778
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D38701
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293351900
—
MD
Enumeration date
06/14/2006
Last updated
02/11/2013
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