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NPI Code Detail

MEDICARE: EMILY GAGE LANG

MEDICARE:   EMILY GAGE 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
1225X00000XOccupational Therapist0002567CO

General Provider Information

NPI Number : 1831614338
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY GAGE LANG
Provider Business Mailing Address
First Line : 12213 PECOS ST STE 200
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-3414
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12213 PECOS ST STE 200
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-3414
Country : US
Telephone Number : 720-459-7493
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2017
Last Update Date : 08/07/2017

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Directions to “ EMILY GAGE LANG ” Practice Location

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