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Individual

MR. BRADLEY CARL LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LDN

Contact information

Practice address
101 MANNING DR, CHILDREN'S HOSPITAL, CHAPEL HILL, NC 27514-4220
(984) 974-7908
(984) 974-3217
Mailing address
101 MANNING DR, CHILDREN'S HOSPITAL, CHAPEL HILL, NC 27514-4220
(984) 974-7908
(984) 974-3217

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004570N
NC
133VN1004X
Pediatric Nutrition Registered Dietitian
L004570
NC

Other

Enumeration date
09/11/2015
Last updated
09/11/2015
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