Individual
DR. LAWRENCE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7090 N DURANGO DR, STE 110, LAS VEGAS, NV 89149-4494
(702) 220-3937
Mailing address
PO BOX 33849, LAS VEGAS, NV 89133-3849
(702) 336-3493
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NV0392
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502419
—
NV
Enumeration date
12/28/2006
Last updated
06/14/2010
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