Individual provider · Type 1 NPI

Joellen Lange

Specialist · Bohemia, NY

NPI number 1073028403 Active

Practice location

539 Walnut Ave
Bohemia, NY 11716-4906

Call (631) 987-5175 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073028403

Joellen Lange's National Provider Identifier is 1073028403, issued on Dec 7, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bohemia, NY. The record was last updated on Dec 7, 2017.