Provider Demographics
NPI:1629229042
Name:LANWAY H LING MD LLC
Entity Type:Organization
Organization Name:LANWAY H LING MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANWAY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-696-2333
Mailing Address - Street 1:3298 SUMMIT BLVD STE 39
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-4350
Mailing Address - Country:US
Mailing Address - Phone:850-478-1312
Mailing Address - Fax:850-474-9060
Practice Address - Street 1:3298 SUMMIT BLVD STE 39
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-4350
Practice Address - Country:US
Practice Address - Phone:850-696-2333
Practice Address - Fax:850-912-4465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DP1051OtherMEDICARE RAILROAD
DP1051OtherMEDICARE RAILROAD
FL000701600Medicaid