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Individual
SOPHIE LUNG
Active
Individual
SOPHIE LUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N1745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204041202
—
TX
05
—
204041203
—
TX
05
—
204041204
—
TX
Enumeration date
07/09/2009
Last updated
06/10/2021
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