Provider Demographics
NPI:1598262628
Name:WEI, LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:
Last Name:WEI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:305 N MARGUERITA AVE APT 15
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-2164
Mailing Address - Country:US
Mailing Address - Phone:608-556-7599
Mailing Address - Fax:
Practice Address - Street 1:1983 MARENGO ST.
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY D&T 3D321
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033
Practice Address - Country:US
Practice Address - Phone:516-663-2381
Practice Address - Fax:516-663-8796
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1661792085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology