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Individual

DR. LISA A LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS MS

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
2901016055
MI
1223P0700X
Prosthodontics
Primary
30-023357
OH
1223P0700X
Prosthodontics
8138
CO
1223P0700X
Prosthodontics
F21974
TX

Other

Enumeration date
08/31/2006
Last updated
06/15/2011
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