LESLIE MARK LANG

PROVO, UT
NPI1104839208
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: UT  2613601205)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
-- LESLIE MARK LANG MD
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7707
Mailing Address
-- LESLIE MARK LANG MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-7707
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