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NPI Code Detail

MEDICARE: DR. CHRISTOPHER M LANG MD

MEDICARE: DR. CHRISTOPHER M LANG MD
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
12084P0804XChild & Adolescent Psychiatry Physician1728631205UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E31832OTHERUTRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2942938348OTHERUTBLUECROSS
3942938348LA3OTHERUTEDUCATORS MUTUAL
420534OTHERUTDESERET MUTUAL
5107005631103OTHERUTINTERMOUNTAIN HEALTH CARE

General Provider Information

NPI Number : 1174502546
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER M LANG MD
Provider Business Mailing Address
First Line : 934 S MAIN ST
Second Line :
City : LAYTON
State : UT
Zip : 84041-7135
Country : US
Telephone Number : 801-773-7060
Fax Number :
Provider Business Practice Location Address
First Line : 934 S MAIN ST
Second Line :
City : LAYTON
State : UT
Zip : 84041-7135
Country : US
Telephone Number : 801-773-7060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 06/08/2016

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Directions to “ DR. CHRISTOPHER M LANG MD” Practice Location

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