Provider Demographics
NPI:1134452402
Name:LANG, ROBERT RANDALL (PA-C)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:RANDALL
Last Name:LANG
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1160 E SAINT CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-4853
Mailing Address - Country:US
Mailing Address - Phone:812-885-3325
Mailing Address - Fax:812-885-8987
Practice Address - Street 1:1813 WILLOW ST STE 3
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-4276
Practice Address - Country:US
Practice Address - Phone:812-885-8941
Practice Address - Fax:812-885-8940
Is Sole Proprietor?:No
Enumeration Date:2009-09-17
Last Update Date:2024-09-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant