MEDICARE: LAUREN NICOLE LANGSTONE DPT

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	225100000X	Physical Therapist	2305211757	VA

General Provider Information

NPI Number	:	1679886790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN NICOLE LANGSTONE DPT

Provider Business Mailing Address
First Line	:	5477 GERMANNA HWY
Second Line	:
City	:	LOCUST GROVE
State	:	VA
Zip	:	22508-2018
Country	:	US
Telephone Number	:	540-972-9610
Fax Number	:

Provider Business Practice Location Address
First Line	:	5477 GERMANNA HWY
Second Line	:
City	:	LOCUST GROVE
State	:	VA
Zip	:	22508-2018
Country	:	US
Telephone Number	:	540-972-9610
Fax Number	:

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

Provider Enumeration Date	:	07/18/2010
Last Update Date	:	02/10/2025

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