Basic Information
Provider Information
NPI: 1043374457
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURDOCK-LANGAN
FirstName: PATRICIA
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 642117
Address2:  
City: OMAHA
State: NE
PostalCode: 681648117
CountryCode: US
TelephoneNumber: 4027174377
FaxNumber: 4027174317
Practice Location
Address1: 16909 LAKESIDE HILLS CT
Address2: SUITE 300
City: OMAHA
State: NE
PostalCode: 681304664
CountryCode: US
TelephoneNumber: 4027585011
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/20/2006
LastUpdateDate: 08/29/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X20229NEY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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