Individual provider · Type 1 NPI

Katelyn Nicole Lange, PA-C

Medical Physician Assistant · Troy, MI

NPI number 1144892910 Active

Practice location

215 East Big Beaver, Suite 200
Troy, MI 48083

Call (248) 362-3500 Map

Fax (248) 362-1941

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601010371 (MI)
Medical Physician Assistant Primary 363AM0700X5601010371 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1144892910

Katelyn Nicole Lange, PA-C's National Provider Identifier is 1144892910, issued on Jul 12, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Troy, MI. The record was last updated on Jul 30, 2026.