Individual
ANNA M LANG-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 E STATE STREET, ALLIANCE, OH 44601
(330) 596-6000
(330) 596-7214
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.187858
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000666673
ANTHEM
OH
01
—
000000672398
ANTHEM
OH
05
—
0768692
—
OH
05
—
3810018495
—
WV
01
—
P00954616
RRMCR
OH
Enumeration date
05/23/2006
Last updated
07/18/2018
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