Individual
SUSAN LANG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6708 N KNOXVILLE AVE, SUITE 1, PEORIA, IL 61614-2862
(309) 691-6868
(309) 691-6858
Mailing address
6708 N KNOXVILLE AVE, SUITE 1, PEORIA, IL 61614-2862
(309) 691-6868
(309) 691-6858
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
IL
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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