Provider Demographics
NPI:1295473254
Name:CHANG, LAWRENCE (DPM)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:CHANG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:110 NEW STINE RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-2605
Mailing Address - Country:US
Mailing Address - Phone:661-832-1667
Mailing Address - Fax:661-832-7145
Practice Address - Street 1:1700 ADAMS AVE STE 204
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4865
Practice Address - Country:US
Practice Address - Phone:714-434-1776
Practice Address - Fax:714-434-1293
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE6162213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery