# CHAN S HWANG, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakewood Electrodiagnosis and Physiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487928099
- **Authorized official:** DR. CHAN S HWANG M.D. (PHYSICIAN MANAGER)
- **Authorized official phone:** (253) 229-0580

## Contact information

- **Practice address:** 126 15TH ST SE, PUYALLUP, WA 98372-3409
- **Practice address phone:** (253) 229-0580
- **Mailing address:** 126 15TH ST SE, PUYALLUP, WA 98372-3409
- **Mailing address phone:** (253) 229-0580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD00035834 | WA | Yes |

## Other

- **Enumeration date:** 02/28/2012
- **Last updated:** 02/28/2012