Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 3012159 | KY |
N | 363L00000X | Nurse Practitioner | APRN.CNP.022428 | OH |
N | 363LN0000X | Nurse Practitioner - Neonatal | 28217416A | IN |
NPI | 1013326131 |
---|---|
Provider Name | Lyndsey Lang |
First Address | Edgewood, KY 41017-3403 |
Second Address | Edgewood, KY 41017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2014 |
Last Update Date | 08/08/2018 |