Individual provider · Type 1 NPI

Cynthia Irene Lange, PA-C

Medical Physician Assistant · St. Louis, MO

NPI number 1194789222 Active

Practice location

1 Jefferson Barracks Rd
St. Louis, MO 63125-4181

Call (314) 894-5770 Map

Fax (314) 894-5775

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X85001685 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1194789222

Cynthia Irene Lange, PA-C's National Provider Identifier is 1194789222, issued on Apr 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Louis, MO. The record was last updated on Jul 16, 2007.