Search › California › 163WL0100X
Kelli Lange, RN, IBCLC
NPI 1598296154 · on the registry since 2017 · sole proprietor
Practice
- Address
- 17482 Amaganset Way
Tustin, CA 92780 - Phone
- (714) 292-1398
Registry record
- Primary taxonomy
- 163WL0100X
163WL0100X
- Also registered as
- 163W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California