Individual
STACEY D LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 S WATER, WICHITA, KS 67213
(316) 682-4646
(316) 263-4116
Mailing address
2301 S WATER, WICHITA, KS 67213
(316) 682-4646
(316) 263-4116
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
KS
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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