person
Brooke A Lange, PA-C
Medical Physician Assistant in Lima, Ohio
NPI 1093103038

Brooke A Lange is a Medical Physician Assistant based in Cincinnati, OH and is specialized in Medical. Brooke A Lange practices in Lima, OH and has the professional credentials of PA-C. The NPI Number for Brooke A Lange is 1093103038 and holds a License No. 50.004109 (Ohio).

The current practice location address for Brooke A Lange is 830 W High St Ste 360, Lima, OH and can be reached out via phone at 419-227-7117 and via fax at 419-227-2848.

Location: 830 W High St Ste 360, Lima, OH, 45263-6930
person
Provider Profile Details
NPI Number
1093103038
Provider Name
Brooke A Lange
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
830 W High St Ste 360, Lima, OH, 45263-6930
Phone Number
419-227-7117
Fax Number
419-227-2848
Provider Enumeration Date
12/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0116351 05 OH
9943723 01 OH MEDICARE GROUP PTAN
1184652539 01 OH GROUP NPI
0105065 01 OH MEDICAID GROUP
institution
Provider Business Practice Location Address Details
Address
830 W High St Ste 360
City
State
Zip
45801-3985
Phone Number
419-227-7117
Fax Number
419-227-2848
person
Provider Business Mailing Address Details
Address
830 W High St Ste 360
City
State
Zip
45801-3985
Phone Number
419-227-7117
Fax Number
419-227-2848
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
50.004109 (Ohio)
Definition
Definition to come...
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