Active NPI
Lawrence Jabang
- Registered Nurse
- Sun Prairie, WI
National Provider Identifier
1720976723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 227227-30
- Practice address
- 1153 Emerald Ter Apt 8
Sun Prairie, WI 53590-1947 - Phone
- (262) 676-3245
- NPI assigned
- Jun 26, 2025
- Last updated
- Jun 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 227227-30 | WI | Primary |
Addresses
Primary practice location
1153 Emerald Ter Apt 8
Sun Prairie, WI 53590-1947
Mailing address
1153 Emerald Ter Apt 8
Sun Prairie, WI 53590-1947
Phone (262) 676-3245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227227-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1720976723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 EMERALD TER APT 8",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901947",
"telephone_number": "262-676-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 EMERALD TER APT 8",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901947",
"telephone_number": "262-676-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABANG",
"first_name": "LAWRENCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "227227-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.