Individual
DR. MAYNARD F. LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
782 EAST HARDING WAY, STOCKTON, CA 95205-6101
(209) 475-5500
(209) 466-1982
Mailing address
3400 DATA DRIVE, PHYSICIAN SUPPORT SERVICES, 2ND FLOOR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C29340
CA
Other
Enumeration date
12/13/2005
Last updated
07/02/2014
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