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Individual
LA CHANG
Active
Individual
LA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16038
WI
363LF0000X
Family Nurse Practitioner
16038-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16038-33
WI
Other
Enumeration date
11/05/2025
Last updated
12/11/2025
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