Provider Demographics
NPI:1154022432
Name:LWT DEVELOPMENT INC
Entity type:Organization
Organization Name:LWT DEVELOPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWTON
Authorized Official - Middle Name:
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-529-3937
Mailing Address - Street 1:125 N RAYMOND AVE UNIT 212
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-4535
Mailing Address - Country:US
Mailing Address - Phone:626-529-3937
Mailing Address - Fax:626-470-9938
Practice Address - Street 1:125 N RAYMOND AVE UNIT 212
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-4535
Practice Address - Country:US
Practice Address - Phone:626-529-3937
Practice Address - Fax:626-470-9938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty