Provider Demographics
NPI:1356332761
Name:LANGE, DONALD HENRY (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:HENRY
Last Name:LANGE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5000 CEDAR PLAZA PKWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-3854
Mailing Address - Country:US
Mailing Address - Phone:314-849-7372
Mailing Address - Fax:314-849-7347
Practice Address - Street 1:5000 CEDAR PLAZA PKWY
Practice Address - Street 2:SUITE 230
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-3854
Practice Address - Country:US
Practice Address - Phone:314-849-7372
Practice Address - Fax:314-849-7347
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MOR1B73207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics