Provider Demographics
NPI:1376738088
Name:LANG, DAVID (LMT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:LANG
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5800 MCLEOD RD NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-2454
Mailing Address - Country:US
Mailing Address - Phone:505-872-9260
Mailing Address - Fax:505-872-9264
Practice Address - Street 1:5800 MCLEOD RD NE
Practice Address - Street 2:SUITE A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2454
Practice Address - Country:US
Practice Address - Phone:505-872-9260
Practice Address - Fax:505-872-9264
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM1442225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist