Individual
LAURENCE S WANG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5245 S COLLEGE RD, WILMINGTON, NC 28412-2209
(910) 392-7806
(910) 392-2428
Mailing address
4705 MALONE CT, RALEIGH, NC 27616-5481
(919) 593-4688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126WR
—
NC
Enumeration date
03/23/2006
Last updated
07/08/2007
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