Susan Lang, CNM

NPI #1265488936 in Peoria, Illinois

Provider Information

NPI Number
1265488936
Entity Type
Individual
Name
Susan Lang, CNM
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Midwife
Credential
CNM
Enumeration Date
May 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6708 N KNOXVILLE AVE
Address 2
SUITE 1
City
Peoria
ZIP Code
61614-2862
Phone
(309) 691-6868

Specialties & Taxonomy Codes

Specialty
Midwife

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