| Lawrence D Wong Md | |
|
2910 Jefferson St Ste 100 Carlsbad CA 92008-2357 | |
| (760) 729-8600 | |
| (760) 729-1499 |
| Full Name | Lawrence D Wong Md |
|---|---|
| Speciality | Family Medicine |
| Location | 2910 Jefferson St Ste 100, Carlsbad, California |
| Authorized Official Name and Position | Yesenia Noble (BILLING MANAGER) |
| Authorized Official Contact | 7607298600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence D Wong Md 2910 Jefferson St Ste 100 Carlsbad CA 92008-2357 Ph: (760) 729-8600 | Lawrence D Wong Md 2910 Jefferson St Ste 100 Carlsbad CA 92008-2357 Ph: (760) 729-8600 |
| NPI Number | 1184151888 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184151888 | NPI | - | NPPES |
| C51460 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C51460 (California) | Primary |
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