Provider Demographics
NPI:1952410391
Name:LANG, IRENE S (RN, MS, CS)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:S
Last Name:LANG
Suffix:
Gender:F
Credentials:RN, MS, CS
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Mailing Address - Street 1:151 ROCK ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-3201
Mailing Address - Country:US
Mailing Address - Phone:508-678-7542
Mailing Address - Fax:508-676-3699
Practice Address - Street 1:151 ROCK ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3201
Practice Address - Country:US
Practice Address - Phone:508-678-7542
Practice Address - Fax:508-676-3699
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA91755364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI407853OtherBLUE CHIP
MAPN0710OtherBC BS OF MASS
0007952210OtherAETNA
RI1036540OtherNGPRI
RI223341OtherBC BS OF RI
352662OtherEMPIRE BLUE
TUFTSOther451715
255399000OtherMAGELLAN NAT'L SERVICE
352662OtherEMPIRE BLUE
0007952210OtherAETNA