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NPI Code Detail

MEDICARE: DR. JOHN ALBERT LANG III MD

MEDICARE: DR. JOHN ALBERT LANG III 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
1207R00000XInternal Medicine Physician26024NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4110192434OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
188380OTHERMEDCOST
28817678OTHERCIGNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
50455272OTHERUNITED HEALTHCARE
650841OTHERNCBCBS

General Provider Information

NPI Number : 1487794491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN ALBERT LANG III MD
Provider Business Mailing Address
First Line : PO BOX 18563
Second Line :
City : RALEIGH
State : NC
Zip : 27619-8563
Country : US
Telephone Number : 919-782-1806
Fax Number : 919-782-1669
Provider Business Practice Location Address
First Line : 3521 HAWORTH DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7216
Country : US
Telephone Number : 919-782-1806
Fax Number : 919-782-4756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 01/29/2009

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Directions to “ DR. JOHN ALBERT LANG III MD” Practice Location

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