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NPI Code Detail

MEDICARE: DR. JENNIFER KATHERINE LANG M.D.

MEDICARE: DR. JENNIFER KATHERINE LANG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician273713NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487897062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER KATHERINE LANG M.D.
Provider Business Mailing Address
First Line : 1020 YOUNGS RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-2698
Country : US
Telephone Number : 716-961-9900
Fax Number : 716-961-9911
Provider Business Practice Location Address
First Line : 1020 YOUNGS RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-2698
Country : US
Telephone Number : 716-961-9900
Fax Number : 716-961-9911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2009
Last Update Date : 12/18/2015

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