Organization Active NPI

Eric L. Lang DO LC

  • Family Medicine Physician
  • Melbourne, FL
National Provider Identifier
1417042490
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8946 Issued in FL
Legal business name
ERIC L. LANG DO LC
Practice address
1301 W Eau Gallie Blvd
Suite 112
Melbourne, FL 32935-5390
Phone
(321) 255-5915
Fax
(321) 255-6784
NPI assigned
Oct 4, 2006
Last updated
Feb 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric L. Lang, D.O.
Title
DO/Owner
Phone
(321) 255-2915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8946 FL Primary

Addresses

Primary practice location

1301 W Eau Gallie Blvd
Suite 112
Melbourne, FL 32935-5390

Mailing address

1301 W Eau Gallie Blvd
Suite 112
Melbourne, FL 32935-5390
Phone (321) 255-5915

National Provider Directory

National Provider Directory

Locations

1370 Sarno Rd
Ste G
Melbourne, FL 32935
Phone (321) 255-5915

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1417042490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W EAU GALLIE BLVD",
            "address_2": "SUITE 112",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355390",
            "telephone_number": "321-255-5915",
            "fax_number": "321-255-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W EAU GALLIE BLVD",
            "address_2": "SUITE 112",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355390",
            "telephone_number": "321-255-5915",
            "fax_number": "321-255-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC L. LANG DO LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "321-255-2915",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.