Individual
DR. NICOLE LISA LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5000 UNIVERSITY DR, ER DEPARTMENT, MIAMI, FL 33146-2008
(786) 308-3911
Mailing address
2843 S BAYSHORE DR, APT 6A, MIAMI, FL 33133-6015
(305) 443-0030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0007831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258589800
—
FL
01
—
49822
BCBS
FL
Enumeration date
01/11/2006
Last updated
07/08/2007
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