Gregory Phillip Lang

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Sitka, AK

NPI 1255799052 · NPPES record last updated Feb 8, 2016

Key facts

NPI
1255799052
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
222 Tongass Dr
Sitka, AK 99835-9416
Phone
(907) 966-8318
Fax
(907) 966-8749
NPI assigned
Feb 8, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

222 Tongass Dr
Sitka, AK 99835-9416

Mailing address

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-8318

Other providers in Sitka, AK

All providers in Sitka, AK · Student in an Organized Health Care Education/Training Program in Alaska

Sources for this page

Verify at the official NPI Registry.