Erivan Lang

NPI #1205389947 in Muskogee, Oklahoma

Provider Information

NPI Number: 1205389947
Entity Type: Individual
Name: Erivan Lang
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jul 29, 2016
Last Updated: Jul 29, 2016

Practice Location

Address: 1300 DORCHESTER AVE
City: Muskogee
State: Oklahoma
ZIP Code: 74403-5679
Phone: (918) 616-0009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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