Individual
MRS. BEVERLEY LYNN LANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1069 E REID RD, GRAND BLANC, MI 48439-8905
(810) 953-0627
Mailing address
1069 E REID RD, GRAND BLANC, MI 48439-8905
(810) 953-0627
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114971
MI
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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