Individual
MS. ALYSON SHIELDS LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24 MAGOTHY BEACH RD STE A, PASADENA, MD 21122-4414
(410) 255-2700
(410) 437-1962
Mailing address
1111 BENFIELD BLVD, SUITE 200, MILLERSVILLE, MD 21108-3002
(410) 729-5100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004922
MD
Other
Enumeration date
11/26/2012
Last updated
02/01/2018
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