Provider Demographics
NPI:1902862535
Name:WANG, LIZHEN (MD)
Entity Type:Individual
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First Name:LIZHEN
Middle Name:
Last Name:WANG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:10134 COLVIN RUN RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-1841
Mailing Address - Country:US
Mailing Address - Phone:703-757-7950
Mailing Address - Fax:703-757-7953
Practice Address - Street 1:510 BEAVER RUIN ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071
Practice Address - Country:US
Practice Address - Phone:770-446-2820
Practice Address - Fax:770-446-2868
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2016-06-15
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Provider Licenses
StateLicense IDTaxonomies
VA0101221157208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics