Provider Demographics
NPI:1023252376
Name:RITA M LANG DO PC
Entity type:Organization
Organization Name:RITA M LANG DO PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MISS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:810-664-8541
Mailing Address - Street 1:396 LAKE NEPESSING RD
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-2910
Mailing Address - Country:US
Mailing Address - Phone:810-664-8541
Mailing Address - Fax:810-664-0333
Practice Address - Street 1:396 LAKE NEPESSING RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-2910
Practice Address - Country:US
Practice Address - Phone:810-664-8541
Practice Address - Fax:810-664-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty