Doctor Name: | LAURA J LANGDON |
NPI Number: | 1700269875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 2015021852 |
Business Practice Address: | 216 W Main St Steele, MO - 638771436 |
Business Phone Number: | 5736952181 |
Business Fax Number: | 5736952796 |
Mailing Address: | 216 W Main St, STEELE |
State: | MO |
Postal Code: | 638771436 |
Phone Number: | 5736952181 |
Fax Number: | 5736952796 |
NPI Enumeration Date: | 07/07/2015 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 2015021852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |