Individual
MR. EVAN LUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
54 SENTINEL DR, STEILACOOM, WA 98388-1663
(253) 983-2300
Mailing address
511 CHAMBERS ST, STEILACOOM, WA 98388-3304
(253) 983-2200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60772369
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP60772369
LICENSED PRACTICAL NURSE
WA
Enumeration date
04/06/2018
Last updated
04/06/2018
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