Individual
EDWARD LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 W. CAMP STREET, LEBANON, IN 46052-1647
(765) 482-7005
Mailing address
4818 W HARRISBURG CT, NEW PALESTINE, IN 46163-8546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01026184
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080159547
RAILROAD MEDICARE
IN
05
—
100254030
—
IN
Enumeration date
11/01/2006
Last updated
02/23/2018
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