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Contact Information

LAWRENCE C WANG, MD
401 SW WATER ST
1824
PEORIA, IL61602-1571
 Phone: 309-494-9320
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for LAWRENCE C WANG · (Male)

NPI Number 1013086859
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2006
Last updated 04/22/2008 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-104660
Hospital affiliation(s)
  • GRAHAM HOSPITAL ASSOCIATION - (Acute Care)
    210 WEST WALNUT STREET
    CANTON, IL 61520
  • KEWANEE HOSPITAL - (Critical Access)
    1051 WEST SOUTH STREET
    KEWANEE, IL 61443
  • OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER - (Acute Care)
    1100 EAST NORRIS DRIVE
    OTTAWA, IL 61350
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
  • SAINT JAMES HOSPITAL - (Acute Care)
    2500 WEST REYNOLDS STREET
    PONTIAC, IL 61764
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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