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Organization

DR. MARY J. LANG & ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY JEAN LANG M.D. (PSYCHIATRIST)
(606) 864-0009
Entity
Organization

Contact information

Practice address
449 KEAVY RD, LONDON, KY 40744-8801
(606) 864-0009
Mailing address
449 KEAVY RD, LONDON, KY 40744-8801
(606) 864-0009

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44482
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100156270
KY
Enumeration date
08/31/2011
Last updated
11/02/2011
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