Individual
MR. CHARLES K LWANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
28 NOTTINGHAM CT, APT 509, LYNN, MA 01905-3131
(617) 642-9006
Mailing address
28 NOTTINGHAM CT, APT 509, LYNN, MA 01905-3131
(617) 642-9006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2262126
MA
164W00000X
Licensed Practical Nurse
014846-22
NH
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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