Carol Lange, MA

NPI 1821128711 · on the registry since 2007 · sole proprietor

Practice

Address: 821 Raymond Ave
440
Saint Paul, MN 55114
Phone: (651) 642-9317
Organisation at this address: Revive Md Pllc
Terra Sorg Llc
Julia Moen, Llc
Jenny Decker Llc
Nicholas Flier Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: 103T00000X
103T00000X
Also registered as: 106H00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-09-11

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 Minnesota