| Doctor Name: | MR. WAYNE EMERALD LANG |
| NPI Number: | 1619113222 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.T.(ASCP) |
| License Number: | MT 119423 |
| Business Practice Address: | 7550 Willis Creek Rd Winston, OR - 974965555 |
| Business Phone Number: | 5418638900 |
| Business Fax Number: | |
| Mailing Address: | 7550 Willis Creek Rd, WINSTON |
| State: | OR |
| Postal Code: | 974965555 |
| Phone Number: | 5418638900 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2009 |
| NPI Last Update Date: | 01/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246QM0706X |
| License Number: | MT 119423 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Pathology |
| Taxonomy Specialization: | Medical Technologist |
| Taxonomy Definition: | |