Individual
DR. LAWRENCE DAGANG TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD00046304
WA
2085B0100X
Body Imaging Physician
MD162162
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD00046304
WA
2085R0202X
Diagnostic Radiology Physician
MD162162
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210318
L&I-UNION AVE OPEN MRI
WA
01
—
0210319
L&I-TRA KING CTY
WA
01
—
0210320
L&I-TRA REST OF WA
WA
01
—
0394427
L&I-DIAGNOSTIC IMAGING NW
WA
05
—
1090797
—
WA
05
—
218351
—
OR
Enumeration date
08/14/2006
Last updated
09/03/2024
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