Provider Demographics
NPI:1649387689
Name:LANG, NICHOLAS PAUL (MD)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:PAUL
Last Name:LANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4301 W MARKHAM ST # 728
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8111
Mailing Address - Fax:501-686-8365
Practice Address - Street 1:4301 W MARKHAM ST # 728
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-686-8111
Practice Address - Fax:501-686-8365
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2010-02-10
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Provider Licenses
StateLicense IDTaxonomies
ARC47282086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARC68656Medicare UPIN