Individual
STEPHANIE ASHLEY LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
109 BOYLSTON ST, BRADFORD, PA 16701-2013
(814) 368-3937
(814) 368-4728
Mailing address
109 BOYLSTON ST, BRADFORD, PA 16701-2013
(814) 368-3937
(814) 368-4728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002465
PA
Other
Enumeration date
06/23/2011
Last updated
04/30/2014
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