MEDICARE: BECKY A LANG M.D.

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	207V00000X	Obstetrics & Gynecology Physician	BL076034	MI

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	:	1205835782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BECKY A LANG M.D.

Provider Business Mailing Address
First Line	:	3175 PROFESSIONAL CT
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2823
Country	:	US
Telephone Number	:	989-667-3377
Fax Number	:

Provider Business Practice Location Address
First Line	:	3175 PROFESSIONAL CT
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2823
Country	:	US
Telephone Number	:	989-667-3377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	01/21/2025

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Directions to “ BECKY A LANG M.D.” Practice Location

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