Provider Demographics
NPI:1407071822
Name:LANG, LATRESA (MD)
Entity Type:Individual
Prefix:
First Name:LATRESA
Middle Name:
Last Name:LANG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:859 MOUNT VERNON HWY NE STE 300
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4255
Mailing Address - Country:US
Mailing Address - Phone:404-785-0588
Mailing Address - Fax:404-785-0596
Practice Address - Street 1:859 MOUNT VERNON HWY NE STE 300
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4255
Practice Address - Country:US
Practice Address - Phone:404-785-0588
Practice Address - Fax:404-785-0596
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2022-06-06
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Provider Licenses
StateLicense IDTaxonomies
GA588962080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology