Provider Demographics
NPI:1578039160
Name:LANG, SARAH (RN IBCLC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LANG
Suffix:
Gender:F
Credentials:RN IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13233 HARRISON DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-8878
Mailing Address - Country:US
Mailing Address - Phone:281-906-8101
Mailing Address - Fax:
Practice Address - Street 1:13233 HARRISON DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-8878
Practice Address - Country:US
Practice Address - Phone:281-906-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INL-135473163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant