Individual provider · Type 1 NPI

Maynard F. Lang, MD

General Practice Physician · Stockton, CA

NPI number 1396720355 Active

Practice location

782 East Harding Way
Stockton, CA 95205-6101

Fax (209) 466-1982

Mailing address

3400 Data Drive, Physician Support Services, 2nd Floor
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XC29340 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1396720355

Maynard F. Lang, MD's National Provider Identifier is 1396720355, issued on Dec 13, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Stockton, CA. The record was last updated on Jul 2, 2014.