Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.086557 | OH |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 35.086557 | OH |
NPI | 1275669616 |
---|---|
Provider Name | Dr. Christopher Timothy Lang |
First Address | Columbus, OH 43221-3502 |
Second Address | Columbus, OH 43221-3502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 04/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2923046 | (05) | OH |