Individual
MR. COLLIS HARLAN LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3589
Mailing address
1225 BRECKINRIDGE DR, FAIRFIELD, CA 94533-8135
(707) 422-6688
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN00128774
WA
Other
Enumeration date
01/09/2006
Last updated
12/30/2021
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