Lang Ree, Jennifer

Lang Ree, Jennifer is an individual health care provider with primary practice located at 10956 Donner Pass Rd Ste 130, Truckee CA 96161-4860. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lang Ree, Jennifer can be contacted via phone (530) 587-3523.

Contact Information

Primary practice address
10956 Donner Pass Rd Ste 130 Truckee CA 96161-4860
Phone: (530) 587-3523
Fax: (530) 582-6190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 11027 California

Profile Details

NPI number 1912903113
LBN Legal business name Lang Ree, Jennifer
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jan 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912903113 NPPES
California Other 260026968 TAX IDENTIFICATION NUMBER
California MEDICAID GR0075020 TAX IDENTIFICATION NUMBER
California Other ZHCPP486 TAX IDENTIFICATION NUMBER
California Other ZZZ52949Z TAX IDENTIFICATION NUMBER

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