Provider Demographics
NPI:1467455782
Name:LANG, FRANK JOHN (NP)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:JOHN
Last Name:LANG
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 423
Mailing Address - Street 2:
Mailing Address - City:DOWNIEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95936-0423
Mailing Address - Country:US
Mailing Address - Phone:530-289-3644
Mailing Address - Fax:530-289-3159
Practice Address - Street 1:209 NEVADA STREET
Practice Address - Street 2:
Practice Address - City:DOWNIEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95936-0286
Practice Address - Country:US
Practice Address - Phone:530-289-3298
Practice Address - Fax:530-289-3159
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA265998-528363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner