Individual
DR. JOHN ANDREW LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SOUTH MOORE AVENUE, CLAREMORE, OK 74017
(918) 342-6200
(918) 342-6286
Mailing address
101 SOUTH MOORE AVENUE, CLAREMORE, OK 74017
(918) 342-6200
(918) 342-6286
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD071212L
PA
208600000X
Surgery Physician
Primary
L6483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158473202
—
TX
05
—
158473203
—
TX
Enumeration date
02/15/2006
Last updated
04/09/2013
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