| Doctor Name: | DR. ALEXIS F LANG |
| NPI Number: | 1295970549 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 152055 |
| Business Practice Address: | 9401 Astoria Blvd East Elmhurst, NY - 113691534 |
| Business Phone Number: | 7186396550 |
| Business Fax Number: | |
| Mailing Address: | 1258 W Front St, P O Box 561 LINCROFT |
| State: | NJ |
| Postal Code: | 077381243 |
| Phone Number: | 9089153488 |
| Fax Number: | 7325305813 |
| NPI Enumeration Date: | 12/15/2008 |
| NPI Last Update Date: | 12/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 152055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |