Individual
MRS. CHRISTINE ANNETTE LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RCS
Contact information
Practice address
428 ALTA LOMA DR, THIENSVILLE, WI 53092-1456
(262) 242-2887
Mailing address
428 ALTA LOMA DR, THIENSVILLE, WI 53092-1456
(262) 242-2887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
92136030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35070300
—
WI
Enumeration date
10/21/2008
Last updated
10/21/2008
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