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Individual

DR. LICHUN WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
250 PLEASANT ST, CONCORD, NH 03301-7559
(603) 224-2556
Mailing address
177 OLD WESTBORO RD, NORTH GRAFTON, MA 01536-2013
(508) 839-5460

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
04/29/2019
Last updated
08/25/2020
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