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NPI Code Detail

MEDICARE: MRS. ELIZABETH ANN LANG CNM

MEDICARE: MRS. ELIZABETH ANN LANG CNM
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
1367A00000XAdvanced Practice Midwife001280NY
2367A00000XAdvanced Practice MidwifeNMW235721CA

General Provider Information

NPI Number : 1790988848
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ANN LANG CNM
Provider Business Mailing Address
First Line : 301 VISTA DE LA CUMBRE
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105
Country : US
Telephone Number : 805-245-7452
Fax Number :
Provider Business Practice Location Address
First Line : 2958 STATE STREET
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105
Country : US
Telephone Number : 805-770-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2007
Last Update Date : 01/13/2023

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