Healthcare Provider Details

I. General information

NPI: 1255259602
Provider Name (Legal Business Name): JOSEPH LANG L.AC, DIPL O.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ALSTON BLVD EXT UNIT B
HAMPSTEAD NC
28443
US

IV. Provider business mailing address

194 WINDFIELD LN
HOLLY RIDGE NC
28445-7802
US

V. Phone/Fax

Practice location:
  • Phone: 910-202-4248
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC-2356
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: