Healthcare Provider Details

I. General information

NPI: 1255318119
Provider Name (Legal Business Name): KAREN A. LANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 01/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CAMEO LN
GREENSBURG PA
15601-9230
US

IV. Provider business mailing address

520 JEFFERSON AVE SUITE 400
JEANNETTE PA
15644-2538
US

V. Phone/Fax

Practice location:
  • Phone: 724-834-1326
  • Fax: 724-834-6685
Mailing address:
  • Phone: 724-527-8060
  • Fax: 724-522-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD043949E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: