Provider Demographics
NPI:1316298227
Name:LANG, DANIEL
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:LANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1ST RECONNAISSANCE BATTALION
Mailing Address - Street 2:PO BOX 555530
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:92055-5300
Mailing Address - Country:US
Mailing Address - Phone:760-725-8912
Mailing Address - Fax:
Practice Address - Street 1:31956 DEL CIELO ESTE
Practice Address - Street 2:RIVERVIEW APT #32
Practice Address - City:BONSALL
Practice Address - State:CA
Practice Address - Zip Code:92003-3940
Practice Address - Country:US
Practice Address - Phone:612-532-9286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic