Individual
SEAN LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
9809 CANDELARIA RD NE, SUITE 2B, ALBUQUERQUE, NM 87112-1458
(505) 489-6981
Mailing address
6610 CORONA AVE NE, ALBUQUERQUE, NM 87113-1815
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6222
NM
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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