Individual
PAMELA LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3192
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
364SN0800X
Neuroscience Clinical Nurse Specialist
Primary
RN110606
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230998
UNISON
OH
01
—
000000549904
ANTHEM
OH
05
—
2789513
—
OH
01
—
752788
BUCKEYE MEDICAID
OH
01
—
97550107
AETNA
OH
01
—
P00760962
MEDICARE RAILROAD
OH
Enumeration date
10/24/2006
Last updated
12/02/2014
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