1407025513 NPI number — MRS. ELIZABETH CATHERINE LANGLOIS LPN

Table of content: MRS. ELIZABETH CATHERINE LANGLOIS LPN (NPI 1407025513)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407025513 NPI number — MRS. ELIZABETH CATHERINE LANGLOIS LPN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LANGLOIS
Provider First Name:
ELIZABETH
Provider Middle Name:
CATHERINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DUNLOP LANGLOIS
Provider Other First Name:
ELIZABETH
Provider Other Middle Name:
CATHERINE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1407025513
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
699 STAFFORD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHDALE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01542
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-892-1088
Provider Business Mailing Address Fax Number:
508-892-4966

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
699 STAFFORD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHDALE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01542
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-892-1088
Provider Business Practice Location Address Fax Number:
508-892-4966
Provider Enumeration Date:
02/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 164W00000X , with the licence number:  60779 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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