Individual
ERIC A LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
793 W STATE ST, MCHS WEST-PATHOLOGY DEPT-COPA, COLUMBUS, OH 43222-1551
(614) 234-1300
(614) 234-2931
Mailing address
PO BOX 20452, COPA-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
35070130
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35070130
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0790042
MCR PTAN-COPA
OH
01
—
0790046
MCR PTAN-DPA
OH
05
—
2237805
—
OH
Enumeration date
09/08/2005
Last updated
06/27/2013
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