Individual provider · Type 1 NPI
Melissa Lange
Student in an Organized Health Care Education/Training Program · Mukwonago, WI
NPI number
1366307472
Active
Practice location
503 Small Farm Rd
Mukwonago, WI 53149-1463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1366307472
Melissa Lange's National Provider Identifier is 1366307472, issued on Dec 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mukwonago, WI. The record was last updated on Dec 20, 2025.