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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GAVIN CHARLES LANGE, PHARMACY TECHNICIAN

Active

MR. GAVIN CHARLES LANGE, PHARMACY TECHNICIAN is a Optician healthcare provider located in PARKVILLE, Maryland. NPI 1710693163 is currently active in the NPPES registry. Verify at CMS.

Optician · PARKVILLE, MD

Registration Details

NPI Number
1710693163
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2023 (3.5465349774978 yrs)
Last Updated
Feb 1, 2023
License
T27627 (MD)

Practice Information

Address
6701 HARFORD RD
PARKVILLE, MD, 212347721
Browse MD providers · Browse ZIP 21234
Phone
4102542055
Primary Specialty
Optician
156F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.