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NPI Code Detail

MEDICARE: LAWRENCE M CHENG MD

MEDICARE: LAWRENCE M CHENG 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
12085R0202XDiagnostic Radiology Physician35-079751OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548374283
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE M CHENG MD
Provider Business Mailing Address
First Line : 1987 W 4TH ST
Second Line :
City : MANSFIELD
State : OH
Zip : 44906-1708
Country : US
Telephone Number : 419-525-2160
Fax Number : 419-522-7021
Provider Business Practice Location Address
First Line : 1987 W 4TH ST
Second Line :
City : MANSFIELD
State : OH
Zip : 44906-1708
Country : US
Telephone Number : 419-525-2160
Fax Number : 419-522-7021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 07/09/2007

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Directions to “ LAWRENCE M CHENG MD” Practice Location

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