Individual
LAWRENCE C WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3245 INTERNATIONAL CIR STE 103, COLORADO SPRINGS, CO 80910-3152
(719) 447-0150
(719) 355-1435
Mailing address
3245 INTERNATIONAL CIR STE 103, COLORADO SPRINGS, CO 80910-3152
(719) 447-0150
(719) 355-1435
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
40741
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80734324
—
CO
Enumeration date
08/25/2006
Last updated
08/14/2010
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