Individual
CHAUNCEY LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3090 #10 LIVINGSTON AVE, CLEVELAND, OH 44120
(216) 848-9417
Mailing address
3090#10 LIVINGSTON AVE, SAME, CLEVELAND, OH 44120
(216) 848-9417
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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