| Mr Jason Alexander Lange, | |
|
43 Sokokis Trl, East Waterboro, ME 04030-5400 | |
| (207) 247-6742 | |
| (207) 247-6114 |
| Full Name | Mr Jason Alexander Lange |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 43 Sokokis Trl, East Waterboro, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699449082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 202105402NP-PP (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP211177 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Alexander Lange, 48 Avon St, Portland, ME 04101-2364 Ph: (646) 369-8785 | Mr Jason Alexander Lange, 43 Sokokis Trl, East Waterboro, ME 04030-5400 Ph: (207) 247-6742 |
Natacha J Sovetsky-chabot, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Goodall Dr, Suite 200, East Waterboro, ME 04030 Phone: 207-490-7970 Fax: 204-247-6314 | |
Laura Jean Bickford, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Sokokis Trl, East Waterboro, ME 04030 Phone: 207-247-6742 | |
Jaclyn Zubiate, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Goodall Dr, Suite 900, East Waterboro, ME 04030 Phone: 207-490-7760 | |
Katelyn Marie Pio Lovely, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Goodall Drive, East Waterboro, ME 04030 Phone: 207-490-7760 Fax: 207-247-8460 |