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Lai Man Wong
Family Nurse Practitioner in Costa Mesa, California
NPI 1558894741

Lai Man Wong is a Family Nurse Practitioner based in Costa Mesa, CA and is specialized in Family. Lai Man Wong practices in Costa Mesa, CA. The NPI Number for Lai Man Wong is 1558894741 and holds a License No. 95006175 (California).

The current practice location address for Lai Man Wong is 150 Paularino Ave Ste 182, Costa Mesa, CA and can be reached out via phone at 800-482-5174.

Location: 150 Paularino Ave Ste 182, Costa Mesa, CA, 92627-7602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558894741
Provider Name
Lai Man Wong
Credential
Provider Entity Type
Individual
Gender
Female
Address
150 Paularino Ave Ste 182, Costa Mesa, CA, 92627-7602
Phone Number
800-482-5174
Fax Number
Provider Enumeration Date
04/05/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G8967989 01 WA MEDICARE
institution
Provider Business Practice Location Address Details
Address
150 Paularino Ave Ste 182
City
Costa Mesa
State
California
Zip
92626-3301
Phone Number
800-482-5174
Fax Number
person
Provider Business Mailing Address Details
Address
150 Paularino Ave Ste 182
City
Costa Mesa
State
California
Zip
92626-3301
Phone Number
800-482-5174
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95006175 (California)
Definition
Definition to come...
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