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NPI Code Detail

MEDICARE: LAWRENCE GUAN MD

MEDICARE:   LAWRENCE  GUAN  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
1390200000XStudent in an Organized Health Care Education/Training Program
22085N0700XNeuroradiology Physician2026-01004NC

General Provider Information

NPI Number : 1841828043
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE GUAN MD
Provider Business Mailing Address
First Line : 3949 BROWNING PL
Second Line :
City : RALEIGH
State : NC
Zip : 27609-6504
Country : US
Telephone Number : 919-787-7411
Fax Number :
Provider Business Practice Location Address
First Line : 3949 BROWNING PL
Second Line :
City : RALEIGH
State : NC
Zip : 27609-6504
Country : US
Telephone Number : 919-787-7411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2020
Last Update Date : 06/03/2026

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Directions to “ LAWRENCE GUAN MD” Practice Location

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