Individual
MRS. JULIE ANNE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17700 SE 272ND ST, COVINGTON, WA 98042-4951
(253) 372-6500
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60604785
WA
363AM0700X
Medical Physician Assistant
PA60604785
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2049463
—
WA
Enumeration date
09/12/2014
Last updated
07/28/2021
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