Lange, Jessica Leigh

Lange, Jessica Leigh is an individual health care provider with primary practice located at 101 Prosperous Pl Ste 150 , Lexington KY 40509-1868. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Lange, Jessica Leigh can be contacted via phone (859) 629-7140.

Contact Information

Primary practice address
101 Prosperous Pl Ste 150 Lexington KY 40509-1868
Fax: (859) 629-7137
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 50404 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X T-2561 Mississippi

Profile Details

NPI number 1760746150
LBN Legal business name Lange, Jessica Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Jul 15th, 2026 - about 4 months 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 1760746150 NPPES
Kentucky MEDICAID 7100472170

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