Healthcare Provider Details

I. General information

NPI: 1962833558
Provider Name (Legal Business Name): DR. LIMING WANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2013
Last Update Date: 12/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8285 DARROW RD # 101
TWINSBURG OH
44087-2307
US

IV. Provider business mailing address

8285 DARROW RD # 101
TWINSBURG OH
44087-2307
US

V. Phone/Fax

Practice location:
  • Phone: 330-405-2623
  • Fax:
Mailing address:
  • Phone: 330-405-2623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License NumberWANGL1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: