Provider Demographics
NPI:1962651612
Name:LANG, DAVID AUSTIN (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:AUSTIN
Last Name:LANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 WOODLAND ST SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-6168
Mailing Address - Country:US
Mailing Address - Phone:256-345-7339
Mailing Address - Fax:
Practice Address - Street 1:2202 WOODLAND ST SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-6168
Practice Address - Country:US
Practice Address - Phone:256-345-7339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor