Individual
KRISTI LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W228S9140 PUTNAM ST, BIG BEND, WI 53103-9414
(262) 662-2695
Mailing address
W228S9140 PUTNAM ST, BIG BEND, WI 53103-9414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
152620-30
WI
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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