MEDICARE: EDWARD LANG

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
1	213ES0131X	Foot Surgery Podiatrist	PD092R	LA
2	213E00000X	Podiatrist	PD092R	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1063672327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWARD LANG

Provider Business Mailing Address
First Line	:	PO BOX 7764
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70010-7764
Country	:	US
Telephone Number	:	504-897-3627
Fax Number	:	504-897-3339

Provider Business Practice Location Address
First Line	:	2626 JENA ST.
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6325
Country	:	US
Telephone Number	:	504-897-3627
Fax Number	:	504-897-3339

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	DR. EDWARD M LANG
Credential	:	DPM
Telephone Number	:	504-897-3627

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	07/07/2011

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Directions to “EDWARD LANG ” Practice Location

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