| Doctor Name: | SANDRA LANG |
| NPI Number: | 1043546443 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | COA14433NP |
| Business Practice Address: | 200 Luray Dr Wintersville, OH - 439533973 |
| Business Phone Number: | 7403148258 |
| Business Fax Number: | 3047232195 |
| Mailing Address: | 3136 West St, WEIRTON |
| State: | WV |
| Postal Code: | 260624637 |
| Phone Number: | 3047977733 |
| Fax Number: | 3047977740 |
| NPI Enumeration Date: | 10/20/2009 |
| NPI Last Update Date: | 06/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | COA14433NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |