Individual
DR. LUCASE H WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 E A ST STE 206, CASPER, WY 82601-2252
(307) 265-2400
(307) 265-2566
Mailing address
1300 E A ST STE 206, CASPER, WY 82601-2252
(307) 265-2400
(307) 265-2566
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7923A
WY
208000000X
Pediatrics Physician
A91742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9928537
—
CA
Enumeration date
02/23/2007
Last updated
08/11/2008
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