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Contact Information

SUZANNE M LANG, LADC
1145 SHENANDOAH LANE
ADULT CORRECTIONAL FACILITY, TELESIS
PLYMOUTH, FM55447
 Phone: 612-596-0105
 Fax: 763-475-4297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for SUZANNE M LANG · (Female)

NPI # 1972789907
Status Active
Credentials LADC
Entity Individual
Enumeration date 01/22/2008
Last updated 01/22/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 300458
  • MN Other 300458 LADC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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