Provider Demographics
NPI:1770638363
Name:LANG, JANET A (LIACDIPL(NCCAOM))
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:A
Last Name:LANG
Suffix:
Gender:F
Credentials:LIACDIPL(NCCAOM)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 COURT SQ
Mailing Address - Street 2:SUITE # 860
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-2503
Mailing Address - Country:US
Mailing Address - Phone:617-723-7139
Mailing Address - Fax:617-723-7139
Practice Address - Street 1:15 COURT SQ
Practice Address - Street 2:SUITE # 860
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-2503
Practice Address - Country:US
Practice Address - Phone:617-723-7139
Practice Address - Fax:617-723-7139
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA339171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist