Individual
DR. LAN WANG
Active
Individual
DR. LAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
246118
NY
207RG0100X
Gastroenterology Physician
Primary
Q4544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350817803
—
TX
01
—
350817804
MEDICAID-CSHCN
TX
Enumeration date
02/11/2008
Last updated
02/22/2019
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