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Individual

DR. LYNDON CHANG

Active
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Individual

DR. LYNDON CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
192851
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000073002
GHI HMO ID #
NY
05
01586814
NY
01
0297816
GHI PPO ID #
NY
01
192851
HIP ID #
NY
01
2631049
AETNA HMO ID #
NY
01
475C41
EMPIRE BC/BS OF NY ID #
NY
01
7672216
AETNA PPO ID #
NY
01
G89081
STATE LICENSE
CA
01
N97319
HEALTHNET #
NY
01
P2526820
OXFORD ID #
NY
Enumeration date
03/24/2006
Last updated
08/26/2015
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