NPI 1578844536

Ralf Lange

Practitioner Independent Duty Corpsman Pleasant Prairie, WI

Practice location

Address: 9544 11th Ave, Pleasant Prairie, WI 53158-4912
Phone: (910) 545-1253

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1578844536
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Sep 2011
Record last updated: 6 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.