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NPI Code Detail

MEDICARE: TASHA LANG

MEDICARE: TASHA LANG
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
1175T00000XPeer SpecialistKY

Other Identifiers

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

General Provider Information

NPI Number : 1164389813
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHA LANG
Provider Business Mailing Address
First Line : 1351 NEWTOWN PIKE BLDG 1
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1277
Country : US
Telephone Number : 859-253-1686
Fax Number :
Provider Business Practice Location Address
First Line : 1351 NEWTOWN PIKE BLDG 1
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-1277
Country : US
Telephone Number : 859-253-1686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ TASHA LANG ” Practice Location

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