Individual
DR. LAWRENCE T. WANG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-8645
(858) 784-5933
Mailing address
10790 RANCHO BERNARDO RD, FL 2, SAN DIEGO, CA 92127-5705
(858) 605-7807
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A90624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A906240
—
CA
Enumeration date
02/10/2006
Last updated
08/15/2016
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