Individual
JAMES E. LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 NE 20TH TER, SUITE 305, FT LAUDERDALE, FL 33308-4510
(954) 491-1111
(954) 491-7017
Mailing address
4800 NE 20TH TER, SUITE 305, FT LAUDERDALE, FL 33308-4510
(954) 491-1111
(954) 491-7017
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME65330
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25290
INDIVIDUAL BCBS
FL
01
—
34713
GROUP BCBS
FL
05
—
375460000
—
FL
01
—
650642257
TAX ID
FL
01
—
990010758
RAILROAD MEDICARE
FL
Enumeration date
05/04/2006
Last updated
07/17/2015
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