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1154382802
JOHN LESLIE LANGE
FORT SMITH, AR
NPI
1154382802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: AR N6768)
Enumeration Date
2006-03-31
Last Update Date
2013-03-22
Business Address
Dr. JOHN LESLIE LANGE M.D.
5500 ELLSWORTH RD.
FORT SMITH, AR 72903-3222
Phone number: 479-242-2411
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Mailing Address
Dr. JOHN LESLIE LANGE M.D.
PO BOX 402319
ATLANTA, GA 30384-2319
Phone number: 479-709-7399
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