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Organization
LAWRENCE D WONG MD
Active
Organization
LAWRENCE D WONG MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESENIA NOBLE (BILLING MANAGER)
(760) 729-8600
Entity
Organization
Contact information
Practice address
2910 JEFFERSON ST STE 100, CARLSBAD, CA 92008-2357
(760) 729-8600
(760) 729-1499
Mailing address
2910 JEFFERSON ST STE 100, CARLSBAD, CA 92008-2357
(760) 729-8600
(760) 729-1499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C51460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C51460
—
CA
Enumeration date
05/12/2017
Last updated
05/12/2017
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