Individual
NATALIE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1400
(414) 955-0197
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-1400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9434-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518506435
—
WI
Enumeration date
12/23/2019
Last updated
01/14/2020
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