Individual
LINA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6161 KEMPSVILLE CIR, SUITE 315, NORFOLK, VA 23502-3932
(757) 461-5400
(757) 461-3305
Mailing address
6161 KEMPSVILLE CIR, SUITE 315, NORFOLK, VA 23502-3932
(757) 461-5400
(757) 461-3305
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101237786
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010175542
—
VA
01
—
177831
BCBS OF VA
VA
01
—
94945
OPTIMA SENTARA HMO PPO
VA
01
—
P00224560
RAILROAD MEDICARE
VA
Enumeration date
11/09/2006
Last updated
09/05/2008
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