Provider Demographics
NPI:1043287121
Name:LANG, STEVEN G (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:G
Last Name:LANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:160 RAVENGLASS WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-7967
Mailing Address - Country:US
Mailing Address - Phone:719-524-4068
Mailing Address - Fax:719-526-7132
Practice Address - Street 1:1650 COCHRANE CIR
Practice Address - Street 2:FAMILY MEDICINE CLINIC
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4603
Practice Address - Country:US
Practice Address - Phone:719-524-4068
Practice Address - Fax:719-526-7132
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CO32116207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine