Individual
LISA M LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
19 OLD ROLLINSFORD RD, BUILDING B, DOVER, NH 03820-2807
(603) 516-4265
(603) 740-2173
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 516-4265
(603) 740-2173
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
034944-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376647990
—
ME
05
—
3087699
—
NH
Enumeration date
09/12/2006
Last updated
02/19/2014
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