MEDICARE: DR. DAVID MICHAEL 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	208000000X	Pediatrics Physician	D0054850	MD

General Provider Information

NPI Number	:	1346481504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MICHAEL LANG M.D.

Provider Business Mailing Address
First Line	:	10 CENTER DR
Second Line	:	ROOM 1-5456, MSC 1680
City	:	BETHESDA
State	:	MD
Zip	:	20892-0001
Country	:	US
Telephone Number	:	301-402-8838
Fax Number	:	301-480-3714

Provider Business Practice Location Address
First Line	:	10 CENTER DR
Second Line	:	ROOM 1-5456, MSC 1680
City	:	BETHESDA
State	:	MD
Zip	:	20892-0001
Country	:	US
Telephone Number	:	301-402-8838
Fax Number	:	301-480-3714

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

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	03/18/2009

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