Provider Demographics
NPI:1649060898
Name:LANG, LILA CLAIRE
Entity type:Individual
Prefix:
First Name:LILA
Middle Name:CLAIRE
Last Name:LANG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 S HIGHLAND AVE APT 324
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3028
Mailing Address - Country:US
Mailing Address - Phone:062-272-2757
Mailing Address - Fax:
Practice Address - Street 1:5723 MELROSE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90038-3890
Practice Address - Country:US
Practice Address - Phone:424-428-9058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health