Doctor Name: | LISA LANGMO |
NPI Number: | 1508863549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME66950 |
Business Practice Address: | 601 E Rollins St Orlando, FL - 328031248 |
Business Phone Number: | 4073031944 |
Business Fax Number: | 4073031746 |
Mailing Address: | Po Box 150505, ALTAMONTE SPRINGS |
State: | FL |
Postal Code: | 327150505 |
Phone Number: | 4077670433 |
Fax Number: | 4077670608 |
NPI Enumeration Date: | 07/06/2005 |
NPI Last Update Date: | 01/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | ME66950 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |