Dustin Lang

NPI 1497247142 · on the registry since 2018

Practice

Address: 907 W Caddo St
Cleveland, OK 74020
Phone: (918) 308-5511
Fax: (918) 205-2701
Organisation at this address: Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 68

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma