Healthcare Provider Details

I. General information

NPI: 1437095908
Provider Name (Legal Business Name): MELINDA REURINK LANGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 7TH ST SW
ROCHESTER MN
55902-2052
US

IV. Provider business mailing address

615 7TH ST SW
ROCHESTER MN
55902-2052
US

V. Phone/Fax

Practice location:
  • Phone: 507-328-3220
  • Fax:
Mailing address:
  • Phone: 507-328-3220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number19632
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: