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NPI Code Detail

MEDICARE: LILLIAN WANG MD

MEDICARE: LILLIAN WANG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician65954MN
2207RG0100XGastroenterology Physician65954MN
3207RG0100XGastroenterology PhysicianMD61690178WA

General Provider Information

NPI Number : 1124523014
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIAN WANG MD
Provider Business Mailing Address
First Line : 6002 WESTGATE BLVD STE 230
Second Line :
City : TACOMA
State : WA
Zip : 98406-2572
Country : US
Telephone Number : 253-272-8664
Fax Number : 253-779-8364
Provider Business Practice Location Address
First Line : 6002 WESTGATE BLVD STE 230
Second Line :
City : TACOMA
State : WA
Zip : 98406-2572
Country : US
Telephone Number : 253-272-8664
Fax Number : 253-779-8364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2018
Last Update Date : 08/21/2025

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Directions to “ LILLIAN WANG MD” Practice Location

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