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NPI Code Detail

MEDICARE: ELIZABETH ANN LANGFORD DO

MEDICARE: ELIZABETH ANN LANGFORD DO
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
1207N00000XDermatology Physician665NV

General Provider Information

NPI Number : 1093726028
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN LANGFORD DO
Provider Business Mailing Address
First Line : 6460 MEDICAL CENTER ST
Second Line : STE 350
City : LAS VEGAS
State : NV
Zip : 89148-2423
Country : US
Telephone Number : 702-880-5838
Fax Number : 702-880-5841
Provider Business Practice Location Address
First Line : 6460 MEDICAL CENTER ST STE 350
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2423
Country : US
Telephone Number : 702-255-6647
Fax Number : 702-933-1444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 05/07/2019

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Directions to “ ELIZABETH ANN LANGFORD DO” Practice Location

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