Provider Demographics
NPI:1376749473
Name:SCHLANG, FERN LOLA (RN LICENSED ACUPUNCT)
Entity type:Individual
Prefix:MISS
First Name:FERN
Middle Name:LOLA
Last Name:SCHLANG
Suffix:
Gender:F
Credentials:RN LICENSED ACUPUNCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:45 LOUDERS LANE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2511
Mailing Address - Country:US
Mailing Address - Phone:617-524-8700
Mailing Address - Fax:
Practice Address - Street 1:670 CENTRE STREET
Practice Address - Street 2:#2
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-2511
Practice Address - Country:US
Practice Address - Phone:617-524-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA116657163W00000X
MA373171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered171100000XOther Service ProvidersAcupuncturist