Lange, Elizabeth

Lange, Elizabeth is an individual health care provider with primary practice located at 900 Warren Ave Suite 200, East Providence RI 02914-1430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lange, Elizabeth can be contacted via phone (401) 421-6481.

Contact Information

Primary practice address
900 Warren Ave Suite 200 East Providence RI 02914-1430
Phone: (401) 421-6481
Fax: (401) 751-8734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD08787 Rhode Island

Profile Details

NPI number 1518954098
LBN Legal business name Lange, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Apr 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518954098 NPPES
Other 3790203671 MEDICARE
Other 709004047 MEDICARE
MEDICAID 7005322 MEDICARE

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