Organization
LEROY LANG JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY LANG JR. MD (OWNER)
(313) 861-4200
Entity
Organization
Contact information
Practice address
6001 W OUTER DR, SUITE 430, DETROIT, MI 48235-2614
(313) 861-4200
(313) 861-8981
Mailing address
6001 W OUTER DR, SUITE 430, DETROIT, MI 48235-2614
(313) 861-4200
(313) 861-8981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL045267
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108216092
BCBS PIN
MI
01
—
1184750101
MEDICAI
MI
Enumeration date
04/25/2008
Last updated
04/25/2008
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