MEDICARE: DR. SARA LYNN REID-LANG DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	3418	OH

General Provider Information

NPI Number	:	1588782288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA LYNN REID-LANG DPM

Provider Business Mailing Address
First Line	:	339 PARKSIDE DR
Second Line	:
City	:	BAY VILLAGE
State	:	OH
Zip	:	44140-2547
Country	:	US
Telephone Number	:	440-250-0225
Fax Number	:

Provider Business Practice Location Address
First Line	:	1740 COOPER FOSTER PARK RD W
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44053-4201
Country	:	US
Telephone Number	:	440-282-1221
Fax Number	:

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	07/16/2007

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