Provider Demographics
NPI:1144242777
Name:LANGDOC, CAROL JEANNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:JEANNETTE
Last Name:LANGDOC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7851 S ELATI ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8081
Mailing Address - Country:US
Mailing Address - Phone:303-798-1309
Mailing Address - Fax:303-798-2319
Practice Address - Street 1:7851 S ELATI ST STE 102
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8081
Practice Address - Country:US
Practice Address - Phone:303-798-1309
Practice Address - Fax:303-798-2319
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO43248207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1144242777OtherNPI
FL273119300Medicaid
CO63232332Medicaid
FLI38431Medicare UPIN
FL16255ZMedicare PIN
FL273119300Medicaid