Background: Lung cancer surely increased particularly in developing country that has double burden of disease because of epidemiologic transition effected high incidence in productive age and premature death. Indonesia as a developing country has better life expectancy but there aren't national cancer control yet. National cancer registry as one of pivotal tools in priority setting of national cancer control. Aim: Epidemiology pattern of lung cancer based on National Cancer Registry to determine national cancer control programs. Methods: In 2016 Ministry of Health assigned 14 provinces (26 cities/districts) in Indonesia to enforce population-based cancer registry and Dharmais as a National Cancer Centre. All health facilities sent data to the National Referral Hospitals in each provinces which Canreg5 were used, year 2008-2012. Data from 14 National Referral Hospitals sent to Dharmais NCC for analysis. Results: Lung cancer posed in the first rank for male and the sixth rank for female by comparison 2:1. Peak incidence occurs in age group of 55 years for male meanwhile 50 years for female. However escalation of cases began in age group of 35 years for both sexes. Three provinces which have high incidence for lung cancer were Bali, South Sumatera and DKI Jakarta as capital city of Indonesia. Adenocarcinoma as the most common histology type. Despite most valid percentage and coverage from each province still quite low. Conclusion: Lung cancer become the first priority for cancer control program in male foremost three provinces. This issue highlighted and need further analysis to assess risk factor.