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Individual

DR. DIANNA LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9425 SANDIFUR PKWY STE 203, PASCO, WA 99301-8083
(646) 209-1681
Mailing address
9425 SANDIFUR PKWY STE 203, PASCO, WA 99301-8083

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60938703
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2136564
WA
Enumeration date
07/14/2015
Last updated
06/19/2024
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