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General NPI Number Information
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NPI Number | 1588782288
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Entity Type | Individual
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Provider Name | SARA LYNN REID-LANG DPM
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 1740 COOPER FOSTER PARK RD W
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City | LORAIN
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State | OH
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Zip | 44053-4201
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Country | US
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Telephone | 440-282-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 339 PARKSIDE DR
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City | BAY VILLAGE
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State | OH
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Zip | 44140-2547
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Country | US
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Telephone | 440-250-0225
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 3418
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License Number State | OH
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