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Individual

ANGELA J LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
126 PORTMAN AVE, STANFORD, KY 40484-1230
(606) 365-9181
(606) 365-9183
Mailing address
126 PORTMAN AVE, STANFORD, KY 40484-1230
(606) 365-9181
(606) 365-9183

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006568
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100165890
KY
Enumeration date
12/02/2010
Last updated
02/15/2013
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