Healthcare Provider Details

I. General information

NPI: 1932991445
Provider Name (Legal Business Name): MOLLY LANGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MOLLY ANTONSON MD

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

982055 NEBRASKA MEDICAL CTR
OMAHA NE
68198-2055
US

IV. Provider business mailing address

982055 NEBRASKA MEDICAL CTR
OMAHA NE
68198-2055
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-0390
  • Fax:
Mailing address:
  • Phone: 402-559-0390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number10234
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: