Organization
LAWC DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA CHANG M.D (DERMATOLOGIST)
(609) 497-7662
Entity
Organization
Contact information
Practice address
8221 ROCHESTER AVE STE 130, RANCHO CUCAMONGA, CA 91730-0721
(609) 497-7662
Mailing address
832 MAGNOLIA AVE, UNIT 10, PASADENA, CA 91106-4603
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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