Lawrence D Chang M.D., PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

C10004311 Issued in DE

Legal business name

LAWRENCE D CHANG M.D., PA

Practice address

774 Christiana Road
Suite 101
Newark, DE 19713

Phone

(302) 355-0005

Fax

(302) 709-6161

NPI assigned

Feb 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Theresa Bolte

Title

Billing

Phone

(302) 355-0005

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angie Giang

  • Physician Assistant
  • Turnersville, NJ
  • NPI 1619741907

  DE

  Medicare reassignment Care Compare group NPD
• Lawrence D Chang, M.D.

  • Plastic Surgery Physician
  • Newark, DE
  • NPI 1275577843
  Medicare reassignment Care Compare group
• Kelsey Taylor Faux-Dugan

  • Medical Physician Assistant
  • Newark, DE
  • NPI 1285212126
  Medicare reassignment Care Compare group
• Kathryn M Allen, PA-C

  • Medical Physician Assistant
  • Salisbury, MD
  • NPI 1346727351

  DE

  Medicare reassignment Care Compare group
• Stephanie Lynn Taylor, PA-C

  • Physician Assistant
  • Salisbury, MD
  • NPI 1548752017

  DE

  Medicare reassignment Care Compare group
• Ellen E Radziewicz, P.A.-C

  • Surgical Physician Assistant
  • Newark, DE
  • NPI 1750432027
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1023287331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA ROAD",
            "address_2": "SUITE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-355-0005",
            "fax_number": "302-709-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA ROAD",
            "address_2": "SUITE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-355-0005",
            "fax_number": "302-709-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE D CHANG M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "BOLTE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "302-355-0005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "DE",
            "license": "C10004311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "G00259",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000562701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lara Laughlin, PA-C
• Julie Laughner
• Megan Elizabeth Lauris
• Jared Lausen
• Laura A Lawler, MD
• John S Lawrence, DDS
• Latoya Donnella Lawrence
• Charlotte Rae Layte, COTA
• Kathleen Ellen Lazar, PSY.D.
• Maria Lazar, MD

• Plastic Surgery Physician in Newark, DE
• Providers in Newark, DE by specialty
• Plastic Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.