Individual
ERIC RAYMOND LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 N 500 W W, BUILDING A, PROVO, UT 84604
(801) 812-5033
(801) 812-5034
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7847331-4405
UT
363LP2300X
Primary Care Nurse Practitioner
7847331-8900
UT
Other
Enumeration date
08/25/2025
Last updated
12/08/2025
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