Individual
TERESSA LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 TORBETT ST, RICHLAND, WA 99354-2604
(509) 946-7646
(509) 946-7666
Mailing address
310 TORBETT ST, RICHLAND, WA 99354-2604
(509) 946-7646
(509) 946-7666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2979
AZ
363A00000X
Physician Assistant
Primary
60162619
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862525
—
AZ
Enumeration date
06/30/2006
Last updated
07/13/2010
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