Organization
LAWRENCE C WANG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE C WANG MD (PRESIDENT)
(719) 447-0150
Entity
Organization
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
174400000X
Specialist
Primary
40741
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80734324
—
CO
Enumeration date
02/28/2008
Last updated
09/01/2011
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