Melissa Lange

NPI #1366307472 in Mukwonago, Wisconsin

Provider Information

NPI Number: 1366307472
Entity Type: Individual
Name: Melissa Lange
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 20, 2025
Last Updated: Dec 20, 2025

Practice Location

Address: 503 SMALL FARM RD
City: Mukwonago
State: Wisconsin
ZIP Code: 53149-1463
Phone: (262) 289-0415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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