Individual
MRS. PO LUNG LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
(307) 302-0318
Mailing address
6861 ALAMO WAY, LA MESA, CA 91942-5860
(718) 791-5126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016187
CA
Other
Enumeration date
12/28/2020
Last updated
07/28/2023
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