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Individual
MR. EVAN MICHAEL LUNG
Active
Individual
MR. EVAN MICHAEL LUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28303571A
IN
163WC0200X
Critical Care Medicine Registered Nurse
Primary
99136873A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
06/09/2026
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