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NPI Code Detail

MEDICARE: ADAM LANG

MEDICARE: ADAM 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician2019005003MO
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician036149457IL

General Provider Information

NPI Number : 1255716403
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM LANG
Provider Business Mailing Address
First Line : 660 S EUCLID AVE
Second Line : DEPARTMENT OF PATHOLOGY, CAMPUS BOX 8118
City : SAINT LOUIS
State : MO
Zip : 63110-1010
Country : US
Telephone Number : 314-362-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1005 BROADWAY ST
Second Line :
City : QUINCY
State : IL
Zip : 62301-2834
Country : US
Telephone Number : 217-223-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2015
Last Update Date : 01/06/2026

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Directions to “ ADAM LANG ” Practice Location

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