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Wilson Lang

NPI 1912511049 · on the registry since 2020

Practice

Address
1720 Tonini Dr Apt 113
San Luis Obispo, CA 93405
Phone
(832) 955-5004

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California