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NPI Code Detail

MEDICARE: LORI LANG NP

MEDICARE: LORI LANG NP
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
1363LA2200XAdult Health Nurse Practitioner12.009056CT
2363LP0808XPsychiatric/Mental Health Nurse Practitioner9056CT
3363LA2200XAdult Health Nurse Practitioner26NJ01108600NJ
4363LA2200XAdult Health Nurse Practitioner309933NY

General Provider Information

NPI Number : 1841808839
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI LANG NP
Provider Business Mailing Address
First Line : 204 PINE HILL RD
Second Line :
City : NEW FAIRFIELD
State : CT
Zip : 06812-2208
Country : US
Telephone Number : 213-220-8702
Fax Number :
Provider Business Practice Location Address
First Line : 38 OLD RIDGEBURY RD
Second Line :
City : DANBURY
State : CT
Zip : 06810-5128
Country : US
Telephone Number : 203-792-4515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2020
Last Update Date : 03/23/2026

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