Individual
MRS. ELISA NICOLE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
835 W EMMITT AVE, WAVERLY, OH 45690-1190
(740) 947-7662
(740) 941-0099
Mailing address
1735 27TH ST, PORTSMOUTH, OH 45662-2677
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003575RX
OH
Other
Enumeration date
09/12/2012
Last updated
11/14/2023
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