MEDICARE: DORAH ADEL LANGFORD

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	183700000X	Pharmacy Technician	060000547	OH

General Provider Information

NPI Number	:	1376166397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORAH ADEL LANGFORD

Provider Business Mailing Address
First Line	:	8333 ROCKSIDE RD
Second Line	:
City	:	VALLEY VIEW
State	:	OH
Zip	:	44125-6134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8333 ROCKSIDE RD
Second Line	:
City	:	VALLEY VIEW
State	:	OH
Zip	:	44125-6134
Country	:	US
Telephone Number	:	216-369-2200
Fax Number	:

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

Provider Enumeration Date	:	05/26/2020
Last Update Date	:	05/26/2020

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Directions to “ DORAH ADEL LANGFORD ” Practice Location

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