Individual
DONITA L LUNGHOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 W CHURCH ST, GREENEVILLE, TN 37745-3285
(423) 798-1749
(423) 798-1755
Mailing address
1991 S ALLENS BRIDGE RD, GREENEVILLE, TN 37743-7000
(423) 638-3737
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000014545
TN
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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