JENNIFER TRAVIS LANGE

FORT CAMPBELL, KY
NPI1811052160
Former NameJENNIFER REBECCA TRAVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: TN  57430)
Enumeration Date2006-12-27
Last Update Date2020-02-13
Business Address
JENNIFER TRAVIS LANGE M.D.
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DRIE
FORT CAMPBELL, KY 42223-5349
Phone number: 270-798-8727
Mailing Address
JENNIFER TRAVIS LANGE M.D.
552 POND APPLE RD
CLARKSVILLE, TN 37043-2222
Phone number: 240-383-7063
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