Individual
MS. NICHOLE J LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-7516
(855) 246-8607
Mailing address
170 PLEASANT ST., FALL RIVER, MA 02719-2505
(508) 558-4305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
207P00000X
Emergency Medicine Physician
63754
TN
207P00000X
Emergency Medicine Physician
Primary
91658
GA
Other
Enumeration date
12/14/2011
Last updated
06/15/2022
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