Madison Lange
NPI #1750128591 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1750128591
- Entity Type
- Individual
- Name
- Madison Lange
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 10, 2024
- Last Updated
- Jul 30, 2024
Practice Location
- Address
- 3188 BELLEVUE AVE
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45219-2369
- Phone
- (513) 584-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Nurse Practitioner |
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