| Doctor Name: | LAWRENCE C WANG |
| NPI Number: | 1013086859 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036-104660 |
| Business Practice Address: | 401 Sw Water St 1824 Peoria, IL - 616021571 |
| Business Phone Number: | 3094949320 |
| Business Fax Number: | |
| Mailing Address: | 1126 S 70th St, N500 MILWAUKEE |
| State: | WI |
| Postal Code: | 532143151 |
| Phone Number: | 4144554780 |
| Fax Number: | 4144752936 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 036-104660 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |