Individual
LARA LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S./C.A.S.
Contact information
Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
Mailing address
3092 KINGSBRIDGE LN, BALDWINSVILLE, NY 13027-1628
(315) 720-6464
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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