Individual
MR. ANTHONY JOSEPH LUNGSTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, OTC
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
Mailing address
711 DOWNING CT, FULTON, MO 65251-7711
(573) 884-2071
(573) 882-0569
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
20070016900
MO
Other
Enumeration date
02/17/2006
Last updated
06/07/2023
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