Individual
MS. LYANN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2121 I ST NW, WASHINGTON, DC 20052-0086
(202) 994-1000
Mailing address
2121 I ST NW, WASHINGTON, DC 20052-0086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F35764401
NY
363LP2300X
Primary Care Nurse Practitioner
F35764401
NY
Other
Enumeration date
08/18/2025
Last updated
09/11/2025
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