Individual provider · Type 1 NPI

Michael Lange

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1003503186 Active

Practice location

1130 W. Michigan Street, Fesler Hall 204
Indianapolis, IN 46202

Other practice locations

  • 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 · (650) 724-4750

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003503186

Michael Lange's National Provider Identifier is 1003503186, issued on Apr 19, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 28, 2024.