Provider Demographics
NPI:1083741854
Name:LANGHORN, LINDA E (LAC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:E
Last Name:LANGHORN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 TOWNWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4338
Mailing Address - Country:US
Mailing Address - Phone:760-634-3803
Mailing Address - Fax:760-436-1810
Practice Address - Street 1:4403 MANCHESTER AVE
Practice Address - Street 2:STE 208
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4939
Practice Address - Country:US
Practice Address - Phone:760-634-3803
Practice Address - Fax:760-436-1810
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 4422171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist