Individual
CONNIE K LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
421 S DIVISION ST, SPOKANE, WA 99202-1331
(509) 474-2100
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10002568
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208556
L&I
WA
05
—
8451213
—
WA
Enumeration date
01/18/2006
Last updated
05/20/2021
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