Individual
THOMAS M LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 15TH ST NW, SUITE A, NORTON, VA 24273
(276) 439-1840
(276) 439-1845
Mailing address
509 MEDTECH PKWY, SUITE 100, JOHNSON CITY, TN 37604
(423) 952-2122
(423) 952-2145
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-094065
IL
207P00000X
Emergency Medicine Physician
35.099885
OH
207P00000X
Emergency Medicine Physician
MD00021559
WA
207R00000X
Internal Medicine Physician
Primary
0101250560
VA
207R00000X
Internal Medicine Physician
47911
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094065-7
—
IL
05
—
036094065-8
—
IL
01
—
1487892378
BCBS
IL
05
—
8188732
—
WA
01
—
930115946
RAILROAD MEDICARE
—
Enumeration date
03/14/2006
Last updated
03/31/2016
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