Provider Demographics
NPI:1659376309
Name:GALANG, LAMBERTO T (MD)
Entity Type:Individual
Prefix:
First Name:LAMBERTO
Middle Name:T
Last Name:GALANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1459 SUPERIOR AVE NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44705-1964
Mailing Address - Country:US
Mailing Address - Phone:330-588-4892
Mailing Address - Fax:330-588-4895
Practice Address - Street 1:1459 SUPERIOR AVE NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44705-1964
Practice Address - Country:US
Practice Address - Phone:330-588-4892
Practice Address - Fax:330-588-4895
Is Sole Proprietor?:No
Enumeration Date:2005-06-18
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-039079207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0337782Medicaid
OH0337782Medicaid
0432121Medicare PIN