MEDICARE: DIANA JEAN LANG CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	RN217427L	PA
2	367500000X	Certified Registered Nurse Anesthetist	APRN2773902	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023062734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA JEAN LANG CRNA

Provider Business Mailing Address
First Line	:	9500 S DADELAND BLVD STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-2866
Country	:	US
Telephone Number	:	786-530-3820
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 PGA BLVD STE 520
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2823
Country	:	US
Telephone Number	:	561-765-3600
Fax Number	:	561-250-1428

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	12/08/2025

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