Individual
SANDRA LYNN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DEPT OF SURGERY, LEBANON, NH 03756-1000
(603) 650-5211
Mailing address
1 MEDICAL CENTER DR, DEPT OF SURGERY, LEBANON, NH 03756-1000
(603) 650-5211
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
17390
NH
2086X0206X
Surgical Oncology Physician
Primary
17390
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4761460
—
MI
Enumeration date
09/27/2006
Last updated
01/04/2016
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