Individual
DR. ROBERT J. LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4500 W OAKEY BLVD, LAS VEGAS, NV 89102
(702) 873-5110
(702) 873-8093
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
006470
AZ
207Q00000X
Family Medicine Physician
02002157
IN
207Q00000X
Family Medicine Physician
Primary
DO2084
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093781
ANTHEM NUMBER
IN
01
—
02002157
STATE LICENCE NUMBER
IN
05
—
1992758726
—
NV
05
—
200256280A
—
IN
01
—
410042917
RAIL ROAD MEDICARE
IN
01
—
6740
AZ LICENSE
AZ
05
—
675414
—
AZ
01
—
DO2084
STATE LICENSE
NV
Enumeration date
05/19/2006
Last updated
03/07/2023
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