Provider Demographics
NPI:1881657815
Name:LANG, SARAH DAWN (MED, ATC)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:DAWN
Last Name:LANG
Suffix:
Gender:F
Credentials:MED, ATC
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Other - Last Name:
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Mailing Address - Street 1:8541 BLUE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-3404
Mailing Address - Country:US
Mailing Address - Phone:619-282-2184
Mailing Address - Fax:619-282-1203
Practice Address - Street 1:3266 NUTMEG ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-5151
Practice Address - Country:US
Practice Address - Phone:619-282-2184
Practice Address - Fax:619-282-1203
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer