Individual
DR. LENA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
167 NORTH MAIN STREER, TUBA CITY, AZ 86045-0600
(928) 283-2063
Mailing address
PO BOX 600, 167 NORTH MAIN ST, TUBA CITY, AZ 86045-0600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD455598
PA
208000000X
Pediatrics Physician
MD455598
PA
Other
Enumeration date
04/01/2011
Last updated
08/13/2015
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