Provider Demographics
NPI:1033345830
Name:LANGER, ELIZABETH (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:LANGER
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 167
Mailing Address - Street 2:
Mailing Address - City:SAXONBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16056-0167
Mailing Address - Country:US
Mailing Address - Phone:412-860-0246
Mailing Address - Fax:
Practice Address - Street 1:112 PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:SAXONBURG
Practice Address - State:PA
Practice Address - Zip Code:16056-9550
Practice Address - Country:US
Practice Address - Phone:412-860-0246
Practice Address - Fax:724-524-1362
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010081111N00000X
PAKO000634171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA631960750Medicare PIN