Individual
IRENE S LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, CS
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
91755
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007952210
AETNA
—
01
—
1036540
NGPRI
RI
01
—
223341
BC BS OF RI
RI
01
—
255399000
MAGELLAN NAT'L SERVICE
—
01
—
352662
EMPIRE BLUE
—
01
—
407853
BLUE CHIP
RI
01
—
PN0710
BC BS OF MASS
MA
01
—
TUFTS
451715
—
Enumeration date
08/30/2006
Last updated
07/27/2012
Update your record
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