Leslie Mark Lang, MD - Pediatrics in Provo, UT

Leslie Mark Lang, MD is a Pediatrics - Neonatal-perinatal Medicine physician based in Provo, Utah. Leslie Mark Lang is licensed to practice in Utah (license number 2613601205) and his current practice location is 1034 N 500 W, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 357-7707.

NPI number for Leslie Mark Lang is 1104839208 and his current mailing address is Po Box 27128, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104839208.

Contact Information

Leslie Mark Lang, MD
1034 N 500 W,
Provo, UT 84604-3380
(801) 357-7707
Not Available

Map and Direction




Physician's Profile

Full NameLeslie Mark Lang
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location1034 N 500 W, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104839208
  • Provider Enumeration Date: 08/14/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Leslie Mark Lang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104839208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 2613601205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leslie Mark Lang is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leslie Mark Lang, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 357-7707
Leslie Mark Lang, MD
1034 N 500 W,
Provo, UT 84604-3380

Ph: (801) 357-7707

Reviews and Comments


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