IndividualActive
Ralf Lange
NPI 1578844536 · Independent Duty Corpsman · Pleasant Prairie, WI
Provider details
- NPI number
- 1578844536
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
9544 11th Ave
Pleasant Prairie, WI 53158-4912
Phone: (910) 545-1253
Approximate (ZIP-level) locationGet directions
Mailing address
9544 11th Ave
Pleasant Prairie, WI 53158-4912
Registry dates
- Enumerated
- 2011-09-06
- Last updated
- 2011-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.