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NPI Code Detail

MEDICARE: DR. LEXIE WANG MD

MEDICARE:  DR. LEXIE  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
1207YS0123XFacial Plastic Surgery PhysicianMD210002711DC

General Provider Information

NPI Number : 1134574908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEXIE WANG MD
Provider Business Mailing Address
First Line : 2440 M ST NW STE 200
Second Line :
City : WASHINGTON
State : DC
Zip : 20037-1449
Country : US
Telephone Number : 202-785-4187
Fax Number : 202-785-1370
Provider Business Practice Location Address
First Line : 2440 M ST NW STE 200
Second Line :
City : WASHINGTON
State : DC
Zip : 20037-1449
Country : US
Telephone Number : 202-785-4187
Fax Number : 202-785-1370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2016
Last Update Date : 05/11/2026

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