Caitlin Elizabeth Lange

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · King William, VA

NPI 1134801574 · NPPES record last updated Aug 4, 2023

Key facts

NPI
1134801574
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
567 Medlin LN
King William, VA 23086-3326
Phone
(757) 660-0897
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

567 Medlin LN
King William, VA 23086-3326

Mailing address

567 Medlin LN
King William, VA 23086-3326
Phone (757) 660-0897

Other providers in King William, VA

All providers in King William, VA · Student in an Organized Health Care Education/Training Program in Virginia

Sources for this page

Verify at the official NPI Registry.