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Individual

ALLISON MARIE LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
111 S 10TH ST, PHILADELPHIA, PA 19107-5013
(215) 955-6000
Mailing address
301 WEST AVE APT 1R, JENKINTOWN, PA 19046-2038

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021064
PA

Other

Enumeration date
11/07/2019
Last updated
11/07/2019
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