Individual
DR. CAROL SUSAN LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
19420 GOLF VISTA PLZ STE 250, LANSDOWNE, VA 20176-8267
(804) 207-6737
Mailing address
45085 UNIVERSITY DR, ASHBURN, VA 20147-2766
(703) 774-5672
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024186171
VA
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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