Provider Demographics
NPI:1801258249
Name:LANGNAS, ERICA
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:LANGNAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S 31ST AVE
Mailing Address - Street 2:UNIT 4613
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1404
Mailing Address - Country:US
Mailing Address - Phone:402-203-8857
Mailing Address - Fax:
Practice Address - Street 1:200 S 31ST AVE
Practice Address - Street 2:UNIT 4613
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-1404
Practice Address - Country:US
Practice Address - Phone:402-203-8857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program