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Contact Information

NICOLE LANGE, LAC MAOM
2615 PARK AVE
SUITE B4
MINNEAPOLIS, MN55407-1035
 Phone: 612-423-9986
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for NICOLE LANGE · (Female)

NPI # 1699127340
Status Active
Credentials LAC MAOM
Entity Individual
Enumeration date 07/06/2016
Last updated 07/06/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1377
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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