MEDICARE: ERIC 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	207RP1001X	Pulmonary Disease Physician	MD0000039166	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	95345X	OTHER	FL	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	4094779	OTHER	TN	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	95345	OTHER	FL	BC/BS

General Provider Information

NPI Number	:	1982685624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC A LANG M.D.

Provider Business Mailing Address
First Line	:	1600 NW 10TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1015
Country	:	US
Telephone Number	:	305-243-6388
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 NW 10TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1015
Country	:	US
Telephone Number	:	305-243-6388
Fax Number	:

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	10/16/2018

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

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