Provider Demographics
NPI:1922215540
Name:WANG, ALLEN YU-LUN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:YU-LUN
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9356 WARM WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7865
Mailing Address - Country:US
Mailing Address - Phone:857-891-1839
Mailing Address - Fax:804-562-9192
Practice Address - Street 1:2500 POCOSHOCK PL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-6345
Practice Address - Country:US
Practice Address - Phone:804-276-9305
Practice Address - Fax:804-674-4145
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2010-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0116018162207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine