Tyson Lee Langeliers, PA -C, ATC, LAT

NPI #1861429482 in La Pine, Oregon

Provider Information

NPI Number: 1861429482
Entity Type: Individual
Name: Tyson Lee Langeliers, PA -C, ATC, LAT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA -C, ATC, LAT
Enumeration Date: Jun 27, 2006
Last Updated: Jul 12, 2018

Practice Location

Address: 51600 HUNTINGTON RD
City: La Pine
State: Oregon
ZIP Code: 97739
Phone: (541) 536-3435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X	Primary

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