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NPI Code Detail

MEDICARE: DR. SUSAN J LAENGER MD

MEDICARE:  DR. SUSAN J LAENGER  MD
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
1207R00000XInternal Medicine PhysicianME78749FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851343370
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN J LAENGER MD
Provider Business Mailing Address
First Line : PO BOX 2699
Second Line :
City : PENSACOLA
State : FL
Zip : 32513-2699
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1395 EL RITO DR
Second Line :
City : GULF BREEZE
State : FL
Zip : 32563-6707
Country : US
Telephone Number : 850-932-9251
Fax Number : 850-932-9199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 06/29/2010

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Directions to “ DR. SUSAN J LAENGER MD” Practice Location

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