Individual
JENNY LUNKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 N CREST PL, LAKEWOOD, NJ 08701-2967
(773) 412-6361
Mailing address
2027 WALNUT ST, PHILA, PA 19103-4467
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008840
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020410790001
—
PA
Enumeration date
04/09/2008
Last updated
04/09/2008
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