Healthcare Provider Details

I. General information

NPI: 1013037530
Provider Name (Legal Business Name): DAVID P. LANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 07/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4125 MEDINA RD #200C
AKRON OH
44333-2483
US

IV. Provider business mailing address

4125 MEDINA RD #200C
AKRON OH
44333-2483
US

V. Phone/Fax

Practice location:
  • Phone: 330-665-8031
  • Fax: 330-665-8360
Mailing address:
  • Phone: 330-665-8031
  • Fax: 330-665-8360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35-095297
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: