Provider Demographics
NPI:1821235508
Name:LANGMORE-AVILA, ELIZABETH C (DO)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:C
Last Name:LANGMORE-AVILA
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:230 MAPLE STREET
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040
Mailing Address - Country:US
Mailing Address - Phone:413-272-0715
Mailing Address - Fax:
Practice Address - Street 1:230 MAPLE STREET
Practice Address - Street 2:3RD FLOOR
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:US
Practice Address - Phone:413-272-0715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2020-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2710092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry