Provider Demographics
NPI:1306252143
Name:LANG, TESS CAROLINE (MD)
Entity type:Individual
Prefix:
First Name:TESS
Middle Name:CAROLINE
Last Name:LANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7203 129TH AVE SE STE 100
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98056-1412
Mailing Address - Country:US
Mailing Address - Phone:425-690-3455
Mailing Address - Fax:425-690-9455
Practice Address - Street 1:7203 129TH AVE SE STE 100
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:WA
Practice Address - Zip Code:98056-1412
Practice Address - Country:US
Practice Address - Phone:425-690-3455
Practice Address - Fax:425-690-9455
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60782938207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine