Provider Demographics
NPI:1316725104
Name:LANG, RACHEL VIRGINIA (PA-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:VIRGINIA
Last Name:LANG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2100 WEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-9250
Mailing Address - Country:US
Mailing Address - Phone:704-221-4913
Mailing Address - Fax:
Practice Address - Street 1:800 N WHITE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2177
Practice Address - Country:US
Practice Address - Phone:803-285-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant