Individual
ANNA CHRISTINE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 JACOB LN, ANOKA, MN 55303-1776
(763) 421-5540
Mailing address
7291 WESTON LN N, MAPLE GROVE, MN 55311-2539
(763) 732-9365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125403
MN
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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