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Dr. Mark A Lang, M.D.

Family Medicine in Broadview Hts, OH. Individual provider (NPI-1).

NPI number1972508232
StatusActive
Last updated in NPPESJul 5, 2013

Details

NPI
1972508232
Entity type
Individual (NPI-1)
Name
Dr. Mark A Lang
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 14, 2005
Last updated
Jul 5, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine35072067LOHYes

Practice location

303 E Royalton Rd
Suite 204
Broadview Hts, OH 44147-2591

Phone 440-545-2272 · Fax 440-545-5645

Mailing address

303 E Royalton Rd
Suite 204
Broadview Hts, OH 44147-2591

Phone 440-545-2272 · Fax 440-545-5645

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