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Individual

DENNIS J. LANG

Active
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Individual

DENNIS J. LANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1164
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011640
SC
01
0655422
CIGNA
SC
01
266003
MEDCOST
SC
01
30150986
SELECT HEALTH
SC
01
929530
WELLCARE
SC
01
AA30048552
MEDICARE PTAN
SC
01
P01232420
RAILROAD MEDICARE
SC
Enumeration date
04/20/2007
Last updated
02/08/2021
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