Individual provider · Type 1 NPI

Lisa Monica Lange, CNP

Nurse Practitioner · Detroit, MI

NPI number 1497792485 Active

Practice location

4100 John R, Karmanos Cancer Ctr Midlevels
Detroit, MI 48201-2013

Fax (313) 576-8381

Mailing address

1560 E Maple Rd Ste 400
Troy, MI 48083-1135

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X4704173236 (MI)
Nurse Practitioner Primary 363L00000X4704173236 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497792485

Lisa Monica Lange, CNP's National Provider Identifier is 1497792485, issued on May 31, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Dec 3, 2018.