Provider Demographics
NPI:1649025560
Name:LANGHAM, LAURA (CD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:LANGHAM
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:KS
Mailing Address - Zip Code:66083-8717
Mailing Address - Country:US
Mailing Address - Phone:785-760-6594
Mailing Address - Fax:
Practice Address - Street 1:204 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:KS
Practice Address - Zip Code:66083-8717
Practice Address - Country:US
Practice Address - Phone:785-760-6594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula