Organization Active NPI

Lawrence C Wang MD PC

  • Specialist
  • Colorado Springs, CO
National Provider Identifier
1740459270
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40741 Issued in CO
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

Updated by the provider on Sep 1, 2011

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
80734324MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.