Individual
SARAH LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6680 FAIRFAX DR, PROVO, UT 84604-9519
(801) 822-3505
Mailing address
6680 FAIRFAX DR, PROVO, UT 84604-9519
(801) 822-3505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
11772632-3102
UT
163WP0200X
Pediatric Registered Nurse
Primary
11772632-3102
UT
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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