Individual
MS. KALLYN ANN LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3851 S UPPER MEADOW CIRCLE, WASILLA, AK 99623-9962
(907) 978-1343
Mailing address
PO BOX 873083, WASILLA, AK 99687-3083
(907) 978-1343
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-150012
AK
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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