Provider Demographics
NPI:1962611566
Name:LANG, JO LYNA (ARNP)
Entity type:Individual
Prefix:MS
First Name:JO
Middle Name:LYNA
Last Name:LANG
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:JO
Other - Middle Name:LYNA
Other - Last Name:JOHNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:3807 TIFFANY CIR
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73065-6395
Mailing Address - Country:US
Mailing Address - Phone:405-227-1031
Mailing Address - Fax:
Practice Address - Street 1:4300 W MEMORIAL RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8304
Practice Address - Country:US
Practice Address - Phone:405-486-8761
Practice Address - Fax:405-752-3975
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0044566363LN0000X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal