Provider Demographics
NPI:1124396692
Name:LANGOHR, MEGAN B (PA)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:B
Last Name:LANGOHR
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:23558 ASHWOOD MOSS TERRACE
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148
Mailing Address - Country:US
Mailing Address - Phone:404-451-4046
Mailing Address - Fax:703-558-5355
Practice Address - Street 1:23558 ASHWOOD MOSS TER
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-7447
Practice Address - Country:US
Practice Address - Phone:404-451-4046
Practice Address - Fax:703-558-5355
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2016-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDC04654363A00000X
VA0110003736363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant