Provider Demographics
NPI:1831642842
Name:LANGBEIN, ERIN (RD, LD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:LANGBEIN
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 W ARROWHEAD ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-6737
Mailing Address - Country:US
Mailing Address - Phone:774-509-8668
Mailing Address - Fax:
Practice Address - Street 1:175 CROSSING BLVD STE 100
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-4472
Practice Address - Country:US
Practice Address - Phone:774-509-8668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR873133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered