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Individual

JOHN D LANG

Active
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Individual

JOHN D LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01053792A
IN
207L00000X
Anesthesiology Physician
4301101945
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C16002
MEDICARE GROUP PTAN
MI
01
0C16002144
MEDICARE PTAN
MI
05
200544270
IN
05
300020699
IN
05
7100899980
KY
Enumeration date
05/25/2006
Last updated
03/20/2026
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