SearchMichigan363LP2300X

Mary Lange, PHD, NP

NPI 1740394055 · on the registry since 2006

Practice

Address
4601 John R
Detroit, MI 48201
Phone
(313) 576-3955
Fax
(313) 576-1191

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Michigan