# ROBERT GR LANG, MD INC PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Olympia Ambulatory Neurosurgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316315930
- **Authorized official:** ROBERT GR LANG MD (PRESIDENT)
- **Authorized official phone:** (360) 491-0459

## Contact information

- **Practice address:** 3525 ENSIGN RD NE STE J, OLYMPIA, WA 98506-5065
- **Practice address phone:** (360) 491-0459
- **Practice address fax:** (360) 491-5370
- **Mailing address:** 3525 ENSIGN RD NE STE J, OLYMPIA, WA 98506-5065
- **Mailing address phone:** (360) 491-0459
- **Mailing address fax:** (360) 491-5370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 09/14/2015