I Lane Wong M.D.

NPI 1104036599 - Specialist - 174400000X

NPI Details
NPI 1104036599
Gender Male
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2500 ALTON PKWY
STE. 201
IRVINE CA, 92606-5024, US
Phone (949) 387-3888
Fax (949) 387-3907
Business Location
2500 ALTON PKWY
STE. 201
IRVINE CA, 92606-5024, US
Phone (949) 387-3888
Fax (949) 387-3907
Toxanomy
Taxonomy Code 174400000X
License State California
License Number G59317
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According to our database, I Lane Wong M.D. NPI is 1104036599, taxonomy code is 174400000X and license number is G59317, license state is located at California. I Lane Wong M.D. physically located at 2500 Alton Pkwy, Irvine CA, 92606-5024. NPI Number I Lane Wong M.D. has the Individual type.

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1104036599 NPI number is provided on an as is basis without warranty of any kind. 1104036599 is maintained by the National Plan & Provider Enumeration System. The contents of I Lane Wong M.D. are for informational purposes only.