Provider Demographics
NPI:1588545818
Name:LANGELIERS, LORA
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:
Last Name:LANGELIERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 W BALL ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-3002
Mailing Address - Country:US
Mailing Address - Phone:817-374-3615
Mailing Address - Fax:
Practice Address - Street 1:2801 E INTERSTATE 20
Practice Address - Street 2:
Practice Address - City:HUDSON OAKS
Practice Address - State:TX
Practice Address - Zip Code:76087-8596
Practice Address - Country:US
Practice Address - Phone:817-599-3745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX266911156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician