Individual
LAWRENCE L WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 MITCHELL AVE, BATESVILLE, IN 47006-8909
(513) 965-8041
(513) 965-8091
Mailing address
PO BOX 428704, CINCINNATI, OH 45242-8704
(513) 965-8041
(513) 965-8091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01045256A
IN
2085R0202X
Diagnostic Radiology Physician
01045256A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20009930A
—
IN
Enumeration date
05/22/2006
Last updated
07/17/2013
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