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JOELLEN LANGE
NPI 1073028403
Specialist in Bohemia, NY

Active since December 07, 2017
539 WALNUT AVE, BOHEMIA, NY 11716(631) 987-5175 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Joellen Lange NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOELLEN LANGE (NPI 1073028403) is an individual specialist in Bohemia, New York and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1073028403
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJOELLEN LANGE
Location Address539 WALNUT AVEBohemia, NY 11716-4906
Mailing Address539 Walnut AveBohemia, NY 11716-4906
Phone(631) 987-5175
Sole ProprietorNo
Enumeration DateDecember 7, 2017
✔ NPI 1073028403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
539 WALNUT AVE, Bohemia, NY 11716
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joellen Lange's NPI number?

The NPI number for Joellen Lange is 1073028403. It was assigned to this individual provider in the NPPES registry on December 7, 2017.

Where is Joellen Lange located?

Joellen Lange practices at 539 Walnut Ave, Bohemia, NY 11716. The listed phone number is (631) 987-5175.

What is Joellen Lange's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Joellen Lange was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.