John Leslie Lange is a Urology Physician based in Atlanta, AR. John Leslie Lange practices in Fort Smith, AR and has the professional credentials of MD. The NPI Number for John Leslie Lange is 1154382802 and holds a License No. N6768 (Arkansas).
The current practice location address for John Leslie Lange is 5500 Ellsworth Rd., Fort Smith, AR and can be reached out via phone at 479-242-2411 and via fax at 479-242-2412.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105907001 | 05 | AR | |
| 100134360A | 05 | OK | |
| 53049 | 01 | AR | BLUE CROSS |
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