Active NPI
Lawrence C Wang MD PC
- Specialist
- Colorado Springs, CO
National Provider Identifier
1740459270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 40741
- Legal business name
- LAWRENCE C WANG MD PC
- Practice address
- 3245 International Cir Ste 103
Colorado Springs, CO 80910-3152 - Phone
- (719) 447-0150
- Fax
- (719) 355-1435
- NPI assigned
- Feb 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence C Wang, MD
- Title
- President
- Phone
- (719) 447-0150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 40741 | CO | Primary |
Addresses
Primary practice location
3245 International Cir Ste 103
Colorado Springs, CO 80910-3152
Mailing address
3245 International Cir Ste 103
Colorado Springs, CO 80910-3152
Phone (719) 447-0150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80734324 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
320 E Fontanero St
#320
Colorado Springs, CO 80907
Phone (719) 447-0150
320 E Fontanero St
Ste 320
Colorado Springs, CO 80907
Phone (719) 338-9176
3245 International Cir
Ste 103
Colorado Springs, CO 80910
Phone (719) 447-0150
555 E Pikes Peak Ave
Ste 200
Colorado Springs, CO 80903
Phone (719) 447-0150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314835200000",
"number": "1740459270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 INTERNATIONAL CIR STE 103",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103152",
"telephone_number": "719-447-0150",
"fax_number": "719-355-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3245 INTERNATIONAL CIR STE 103",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103152",
"telephone_number": "719-447-0150",
"fax_number": "719-355-1435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE C WANG MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-28",
"last_updated": "2011-09-01",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-447-0150",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CO",
"license": "40741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80734324",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.