Individual
LAWRENCE P WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
614 WOOSTER PIKE STE 7, TERRACE PARK, OH 45174-1061
(513) 831-8690
Mailing address
614 WOOSTER PIKE STE 7, TERRACE PARK, OH 45174-1061
(513) 831-8690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35079958
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254108
—
OH
Enumeration date
06/25/2005
Last updated
06/30/2008
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