# MARK A. LANG, M.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528301488
- **Authorized official:** DR. MARK ANDREW LANG M.D. (SOLE MEMBER)
- **Authorized official phone:** (440) 545-2272

## Contact information

- **Practice address:** 303 E ROYALTON RD, SUITE 204, BROADVIEW HEIGHTS, OH 44147-2591
- **Practice address phone:** (440) 545-2272
- **Practice address fax:** (440) 545-5645
- **Mailing address:** PO BOX 470803, BROADVIEW HEIGHTS, OH 44147-0803
- **Mailing address phone:** (440) 545-2272
- **Mailing address fax:** (440) 545-5645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35072067 | OH | Yes |

## Other

- **Enumeration date:** 03/28/2013
- **Last updated:** 03/28/2013