Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | E-8686 | AR |
NPI | 1316263866 |
---|---|
Provider Name | Dr. Patrick Morgan Lang |
First Address | Little Rock, AR 72211-4393 |
Second Address | Little Rock, AR 72205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2010 |
Last Update Date | 10/12/2019 |