Provider Demographics
NPI:1477834554
Name:LANG-BAKAR, ANITA PATRICIA (LAC)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:PATRICIA
Last Name:LANG-BAKAR
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 1:1408 31ST AVE
Mailing Address - Street 2:APT. 407
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3162
Mailing Address - Country:US
Mailing Address - Phone:415-570-1527
Mailing Address - Fax:
Practice Address - Street 1:2940 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3305
Practice Address - Country:US
Practice Address - Phone:415-570-1527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13864171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist