Physician Compare National (NPI:1508182064)

HEALTHCARE PROVIDER: WENDY LAMARA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1508182064
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587969043
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170112002467
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WONG
	Individual professional last name
Provider First Name	WENDY
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	910 MAJOR SHERMAN LN
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 305
	Group Practice or individual's line 2 address
City	MONTEREY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	939404644
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y