MR. Jason Alexander Lange
NPI #1699449082 in East Waterboro, Maine
Provider Information
- NPI Number
- 1699449082
- Entity Type
- Individual
- Name
- MR. Jason Alexander Lange
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 9, 2021
- Last Updated
- May 14, 2024
Practice Location
- Address
- 43 SOKOKIS TRL
- City
- East Waterboro
- State
- Maine
- ZIP Code
- 04030-5400
- Phone
- (207) 247-6742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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